Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10578 | Date 29/09/2023 |
| Token No | SM/22-23/12806 29/09/2023 | Serial | 006 |
| Patient Name | Mrs. UTTARA BHAR | Contact No | 8981432227 |
| Address | 56 DEY STREET | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||