Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08277 | Date 07/02/2023 |
| Token No | SM/22-23/7730 07/02/2023 | Serial | 025 |
| Patient Name | Miss DHARITRI PADIYARI | Contact No | 8981929244 |
| Address | 19 DOSTI LANE, SERAMPORE | Age | 9 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||