Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06305 | Date 07/07/2022 |
| Token No | SM/22-23/3784 07/07/2022 | Serial | 006 |
| Patient Name | Mrs. SIMA CHAKRABORTY | Contact No | 7998878421 |
| Address | 44 BHAGIRATHI LANE | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||