Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08878 | Date 26/04/2023 |
| Token No | SM/22-23/9187 26/04/2023 | Serial | 017 |
| Patient Name | Miss PALLABI MUKHERJEE | Contact No | NOT GIVEN |
| Address | 128G POTUA PARA | Age | 6 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||