Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05460 | Date 21/02/2022 |
| Token No | SM/24-25/20766 29/01/2025 | Serial | 025 |
| Patient Name | Mrs. MINA DAS | Contact No | NOT GIVEN |
| Address | 7 DEY GHAT LANE | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||