Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 05194 | Date 24/12/2021 |
| Token No | SM/24-25/18812 17/09/2024 | Serial | 018 |
| Patient Name | Mrs. REBATI DUTTA | Contact No | 9903202110 |
| Address | 4 J N LAHIRI ROAD | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||