Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06187 | Date 22/06/2022 |
| Token No | SM/25-26/710 09/06/2025 | Serial | 026 |
| Patient Name | Mrs. SOVA SAHA | Contact No | 9836640113 |
| Address | 140B/1 THAKUR BATI STREET | Age | 72 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||