Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10199 | Date 29/08/2023 |
| Token No | SM/22-23/12075 29/08/2023 | Serial | 008 |
| Patient Name | Mrs. TANUJA BEGUM | Contact No | 7605876542 |
| Address | 19 K C B STREET | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||