Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11083 | Date 01/02/2024 |
| Token No | SM/22-23/15197 11/03/2024 | Serial | 048 |
| Patient Name | Mrs. SARITA DAS | Contact No | 8274904525 |
| Address | 132 PATUAPARA, MANIKTALA | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||