Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06129 | Date 17/06/2022 |
| Token No | SM/22-23/3463 17/06/2022 | Serial | 011 |
| Patient Name | Mrs. ANKITA NAHA | Contact No | 9674895002 |
| Address | BELTING BAZAR | Age | 39 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||