Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06791 | Date 22/08/2022 |
| Token No | SM/22-23/4630 22/08/2022 | Serial | 018 |
| Patient Name | Mrs. PRIYA BISWAS | Contact No | 8420614301 |
| Address | 2 L.B.S ROAD | Age | 22 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||