Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06045 | Date 10/01/2024 |
| Token No | SM/22-23/17372 10/01/2024 | Serial | 017 |
| Patient Name | Mrs. TARA BIBI | Contact No | 8240000521 |
| Address | 16 K M SHA STREET SERAMPORE | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||