Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06073 | Date 13/06/2022 |
| Token No | SM/22-23/3362 13/06/2022 | Serial | 013 |
| Patient Name | Mrs. JAYANTI NATH | Contact No | 9674856987 |
| Address | AKHRA BATI LANE | Age | 40 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||