Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05224 | Date 23/09/2023 |
| Token No | SM/22-23/13470 23/09/2023 | Serial | 045 |
| Patient Name | Mrs. MONOWARA BIBI | Contact No | |
| Address | BAHARAMPUR HOOGHLY 712306 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||