Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12016 | Date 29/08/2024 |
| Token No | SM/24-25/18459 29/08/2024 | Serial | 023 |
| Patient Name | Miss KAUSHIKI MONDAL | Contact No | 9831561525 |
| Address | 39B S B GHOSH LANE | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||