Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05620 | Date 31/03/2022 |
| Token No | SM/24-25/16831 12/06/2024 | Serial | 004 |
| Patient Name | Mrs. ASIA PARVEEN | Contact No | 7439550466 |
| Address | 12 K M BHATTACHARJEE STREET | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||