Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11632 | Date 10/06/2024 |
| Token No | SM/24-25/17897 03/08/2024 | Serial | 017 |
| Patient Name | Mrs. SUDESHNA TARAFDAR | Contact No | 9547373839 |
| Address | 29 J.N.L ROAD | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||