Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08219 | Date 01/02/2023 |
| Token No | SM/22-23/8517 23/03/2023 | Serial | 028 |
| Patient Name | Mrs. MONIKA DEBNATH | Contact No | 9123603078 |
| Address | 39 NABAKRISHNA GUIN LANE | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||