Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11318 | Date 27/03/2024 |
| Token No | SM/24-25/19242 07/10/2024 | Serial | 029 |
| Patient Name | Mrs. SUSHAMA SARKAR | Contact No | 8100489677 |
| Address | 35A DEY BAGAN | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||