Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 07003 | Date 09/09/2022 |
| Token No | SM/22-23/5032 09/09/2022 | Serial | 013 |
| Patient Name | Mrs. BANDANA PRASAD | Contact No | 8100506630 |
| Address | 58D J N LAHIRI ROAD | Age | 21 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||