Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12173 | Date 30/09/2024 |
| Token No | SM/24-25/19147 01/10/2024 | Serial | 013 |
| Patient Name | Mrs. SIKHA DAS | Contact No | 8100290003 |
| Address | 26, G.T.ROAD PACHU BAZAR SERAMPORE | Age | 60 Y Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||