Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09785 | Date 26/07/2023 |
| Token No | SM/22-23/11209 26/07/2023 | Serial | 007 |
| Patient Name | Mrs. SONAL SINGH | Contact No | 9117669972 |
| Address | 22 L.M. BHATTACHARYA STREET | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||