Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08402 | Date 21/02/2023 |
| Token No | SM/22-23/7982 21/02/2023 | Serial | 007 |
| Patient Name | Mrs. SHANTI SADHUKHAN | Contact No | NOT GIVEN |
| Address | 70 G T ROAD, BAT TALA | Age | 69 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||