Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11345 | Date 01/04/2024 |
| Token No | SM/22-23/15548 01/04/2024 | Serial | 013 |
| Patient Name | Mrs. DALIYA NANDI | Contact No | 9830598667 |
| Address | BANERJEE PARA | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||