Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06384 | Date 19/07/2022 |
| Token No | SM/22-23/3906 19/07/2022 | Serial | 029 |
| Patient Name | Mrs. CHHABI ROY | Contact No | 8481883593 |
| Address | 50/N/1 S P MUKHERJEE SARANI | Age | 51 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||