Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06965 | Date 07/09/2022 |
| Token No | SM/22-23/14231 11/01/2024 | Serial | 007 |
| Patient Name | Miss ANKITA ADHIKARY | Contact No | 9433669985 |
| Address | 17/E SATYA CHARAN SASTRI STREET | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||