Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11053 | Date 18/01/2024 |
| Token No | SM/22-23/14356 18/01/2024 | Serial | 028 |
| Patient Name | Mrs. BANDANA SINGH | Contact No | NOT GIVEN |
| Address | 14 AKC BHATTACHARYA STREET | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||