Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06948 | Date 06/09/2022 |
| Token No | SM/22-23/4946 06/09/2022 | Serial | 061 |
| Patient Name | Miss CHITRITA BHAR | Contact No | NOT GIVEN |
| Address | 41/A R B SARANI | Age | 23 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||