Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07238 | Date 14/10/2022 |
| Token No | SM/24-25/16930 18/06/2024 | Serial | 006 |
| Patient Name | Miss PUNAM DAS. | Contact No | 8478921346 |
| Address | KAILASH CHATTERJEE LANE | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||