Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08873 | Date 10/03/2025 |
| Token No | SM/24-25/36750 10/03/2025 | Serial | 082 |
| Patient Name | Mrs. LALITA DEVI | Contact No | 9748122186 |
| Address | 6 NO RAM SITA LANE SERAMPORE 712201 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||