Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05032 | Date 09/11/2021 |
| Token No | SM/24-25/17988 07/08/2024 | Serial | 031 |
| Patient Name | Mrs. TAMASA GHOSH | Contact No | 9331803089 |
| Address | 72 PATUA PARA | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||