Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09491 | Date 26/06/2023 |
| Token No | SM/22-23/10480 26/06/2023 | Serial | 005 |
| Patient Name | Mrs. SWARNARUPA SRIMANI | Contact No | 6289326013 |
| Address | 4 PITAMBAR DEY LANE | Age | 67 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||