Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06321 | Date 08/07/2022 |
| Token No | SM/24-25/17432 10/07/2024 | Serial | 015 |
| Patient Name | Mrs. BAISHAKHI DAS | Contact No | 9051357244 |
| Address | 15 G T ROAD, KALITALA | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||