Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08688 | Date 07/02/2025 |
| Token No | SM/24-25/35344 07/02/2025 | Serial | 056 |
| Patient Name | Mrs. SONALI GHOSH | Contact No | 6290725177 |
| Address | 183 3NO NATUN GRAM NITYANANDA PALLI RISHRA 712250 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||