Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10154 | Date 28/08/2023 |
| Token No | SM/22-23/12001 28/08/2023 | Serial | 003 |
| Patient Name | Miss BINU GHOSH | Contact No | 9831370030 |
| Address | 7 T P BHATTACHARJEE STREET | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||