Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07762 | Date 22/11/2022 |
| Token No | SM/22-23/6523 22/11/2022 | Serial | 014 |
| Patient Name | Mrs. SABITRI SHAW | Contact No | 6290466350 |
| Address | 36 BARAL BAGAN | Age | 67 Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||