Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11271 | Date 11/03/2024 |
| Token No | SM/22-23/15205 11/03/2024 | Serial | 056 |
| Patient Name | Mrs. TAMOGNA BATABYAL | Contact No | 7003406197 |
| Address | 56A KHASBAGAN LANE, GITANJALI APT | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||