Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 02742 | Date 06/08/2019 |
| Token No | SM/22-23/13931 20/12/2023 | Serial | 008 |
| Patient Name | Mrs. MALA BHATTACHARYA | Contact No | 9051554736 |
| Address | 107/A THAKUR BATI STREET | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||