Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07356 | Date 21/10/2022 |
| Token No | SM/22-23/5712 21/10/2022 | Serial | 012 |
| Patient Name | Mrs. SIKHA CHAKRABORTY | Contact No | 9674099096 |
| Address | 52/1/B/1 BHAGIRATHI LANE | Age | 72 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||