Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 08424 | Date 22/02/2023 |
| Token No | SM/22-23/8021 22/02/2023 | Serial | 010 |
| Patient Name | Mrs. SNIGDHA DEBNATH | Contact No | 7890531020 |
| Address | 223/H/1 G.T. ROAD | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||