Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 09797 | Date 27/07/2023 |
| Token No | SM/22-23/11235 27/07/2023 | Serial | 020 |
| Patient Name | Mrs. BASANTI NAYEK | Contact No | 8777459801 |
| Address | J.N. LAHIRI ROAD | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||