Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07305 | Date 18/10/2022 |
| Token No | SM/22-23/11655 16/08/2023 | Serial | 028 |
| Patient Name | Mrs. RINA KUNDU | Contact No | 9051310783 |
| Address | 543 G T ROAD, MANIKTALA | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||