Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06702 | Date 10/08/2022 |
| Token No | SM/22-23/4454 10/08/2022 | Serial | 039 |
| Patient Name | Mrs. RANI CHOWDHURY | Contact No | 7890556945 |
| Address | 14/B ASUTOSH CHATTERJEE LANE | Age | 27 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||