Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07238 | Date 14/10/2022 |
| Token No | SM/22-23/5622 18/10/2022 | Serial | 007 |
| Patient Name | Miss PUNAM DAS. | Contact No | 8478921346 |
| Address | KAILASH CHATTERJEE LANE | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||