Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11888 | Date 02/08/2024 |
| Token No | SM/24-25/17880 02/08/2024 | Serial | 010 |
| Patient Name | Mrs. SWARUPA BISWAS | Contact No | 9674808302 |
| Address | 123/A T B STREET | Age | 42 yrs Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||