Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 05781 | Date 05/05/2022 |
| Token No | SM/22-23/2866 05/05/2022 | Serial | 005 |
| Patient Name | Mrs. RUPA ADHIKARI | Contact No | 7439092176 |
| Address | GANGULY BAGAN, MAHESH | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||