Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 04974 | Date 18/10/2021 |
| Token No | SM/24-25/16170 10/05/2024 | Serial | 001 |
| Patient Name | Mrs. PAMPA NANDI | Contact No | 8444049653 |
| Address | 5/A L M BHATTACHARJEE STREET | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||