Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05364 | Date 31/01/2022 |
| Token No | SM/21-22/2043 31/01/2022 | Serial | 007 |
| Patient Name | Mrs. SATYABATI PRADHAN.. | Contact No | 9007258708 |
| Address | COCKRAIN ROAD | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||