Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08043 | Date 28/12/2022 |
| Token No | SM/22-23/7213 28/12/2022 | Serial | 010 |
| Patient Name | Mrs. TAPATI CHOWDHURY | Contact No | 7595858430 |
| Address | 49 PATUA PARA LANE | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||