Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10104 | Date 23/08/2023 |
| Token No | SM/22-23/12566 21/09/2023 | Serial | 016 |
| Patient Name | Mrs. SHIBANI MADU | Contact No | 6289872950 |
| Address | 31 S B GHOSH LANE | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||