Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06833 | Date 29/08/2022 |
| Token No | SM/22-23/12471 14/09/2023 | Serial | 011 |
| Patient Name | Miss ALTASA KALIM | Contact No | 9831462081 |
| Address | 41 K.M. BHATTACHARYA ST | Age | 2 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||