Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 06342 | Date 13/07/2022 |
| Token No | SM/22-23/3842 13/07/2022 | Serial | 012 |
| Patient Name | Mrs. CHANDNI DAS | Contact No | 9088607038 |
| Address | 85/B J N LAHIRI ROAD | Age | 19 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||