Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12563 | Date 22/01/2025 |
| Token No | SM/24-25/20654 22/01/2025 | Serial | 022 |
| Patient Name | Miss POUSHALI DEY | Contact No | 9830079389 |
| Address | 5B/1 DEY STREET | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||