Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09558 | Date 06/07/2023 |
| Token No | SM/22-23/10688 06/07/2023 | Serial | 010 |
| Patient Name | Mrs. KAKALI MAJHI | Contact No | 9875336312 |
| Address | 9 AKHRABATI LANE | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||