Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08643 | Date 24/03/2023 |
| Token No | SM/22-23/8533 24/03/2023 | Serial | 012 |
| Patient Name | Mrs. CHHAYA CHAKRABORTY | Contact No | NOT GIVEN |
| Address | 3 DHULIPARA | Age | 72 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||