Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06753 | Date 17/08/2022 |
| Token No | SM/24-25/16485 25/05/2024 | Serial | 006 |
| Patient Name | Miss SUROSREE BISWAS | Contact No | NOT GIVEN |
| Address | 1 KASHI DOCTOR LANE | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||