Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09305 | Date 12/06/2023 |
| Token No | SM/22-23/13790 14/12/2023 | Serial | 021 |
| Patient Name | Mrs. SOBHA KUNDU | Contact No | 8335962216 |
| Address | HOWRAH DASNAGAR | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||