Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 10233 | Date 31/08/2023 |
| Token No | SM/22-23/12135 31/08/2023 | Serial | 013 |
| Patient Name | Miss SAYNTIKA DUTTA ROY | Contact No | 6290637805 |
| Address | 362 MAHESH COLONY | Age | 4 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||