Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11327 | Date 28/03/2024 |
| Token No | SM/22-23/15468 28/03/2024 | Serial | 003 |
| Patient Name | Mrs. MAMPI DAS | Contact No | 9051537534 |
| Address | 118 G T ROAD MANIKTALA | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||