Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04693 | Date 09/08/2021 |
| Token No | SM/22-23/3221 02/06/2022 | Serial | 005 |
| Patient Name | Mrs. BHARATI DEWAN | Contact No | 8017958274 |
| Address | 8 A B GARDEN LANE | Age | 63 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||