Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02196 | Date 13/07/2022 |
| Token No | SM/22-23/8876 16/05/2023 | Serial | 016 |
| Patient Name | Mrs. MANTI DEBI | Contact No | 8582949878 |
| Address | 97/T PRABASHNAGAR SERAMPORE 712249 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||