Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06272 | Date 05/07/2022 |
| Token No | SM/24-25/16318 16/05/2024 | Serial | 037 |
| Patient Name | Mrs. DURGA BANIK | Contact No | 9433066105 |
| Address | 10 CHATTERJEE LANE | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||