Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08900 | Date 27/04/2023 |
| Token No | SM/22-23/13767 13/12/2023 | Serial | 046 |
| Patient Name | Mrs. KALPANA KARMAKAR | Contact No | 7685918571 |
| Address | 105 J.N. LAHIRI ROAD | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||