Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 10897 | Date 07/12/2023 |
| Token No | SM/24-25/20745 29/01/2025 | Serial | 004 |
| Patient Name | Miss NAINA PRADHAN | Contact No | 8420311476 |
| Address | 58 GANGULY BAGAN | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||