Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05393 | Date 10/10/2023 |
| Token No | SM/22-23/14196 10/10/2023 | Serial | 030 |
| Patient Name | Miss PINKI SARDAR | Contact No | 7439551149 |
| Address | PANDIT SATGHARA SERAMPORE 712203 | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||