Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07032 | Date 14/09/2022 |
| Token No | SM/22-23/5108 14/09/2022 | Serial | 007 |
| Patient Name | Mrs. SHAMPA CHATTERJEE | Contact No | 7980551834 |
| Address | 17E THAKURBATI STREET | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||