Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 11020 | Date 04/01/2024 |
| Token No | SM/22-23/14113 04/01/2024 | Serial | 015 |
| Patient Name | Mrs. SOUMITA SINGH | Contact No | 8013281766 |
| Address | 162 G.T. ROAD, DEY BAGAN | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||