Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10495 | Date 25/09/2023 |
| Token No | SM/22-23/12649 25/09/2023 | Serial | 010 |
| Patient Name | Miss SAYANI MANNA | Contact No | 9477990598 |
| Address | 51C/7 S P MUKHERJEE SARANI | Age | 18 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||