Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07123 | Date 23/09/2022 |
| Token No | SM/22-23/5294 23/09/2022 | Serial | 016 |
| Patient Name | Mrs. SHRABONI GANGOPADHYAY | Contact No | 9830859822 |
| Address | 11 R B SARANI | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||