Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 05744 | Date 21/04/2022 |
| Token No | SM/22-23/4802 01/09/2022 | Serial | 022 |
| Patient Name | Mrs. SUNITA SONKAR | Contact No | 9330573721 |
| Address | 136 DEY BAGAN | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||