Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06051 | Date 10/06/2022 |
| Token No | SM/22-23/3323 10/06/2022 | Serial | 001 |
| Patient Name | Mrs. ARPITA KUNDU | Contact No | 8981244070 |
| Address | 38 AKC BHATTACHARYA STREET | Age | 31 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||