Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 06913 | Date 05/09/2022 |
| Token No | SM/22-23/15265 14/03/2024 | Serial | 015 |
| Patient Name | Mrs. LAKHHI GHOSH | Contact No | 9674998705 |
| Address | 72 K M SHA STREET | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||