Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09836 | Date 02/08/2023 |
| Token No | SM/22-23/11318 02/08/2023 | Serial | 021 |
| Patient Name | Mrs. PRATIMA DEBI | Contact No | NOT GIVEN |
| Address | NAYA BAGAN | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||