Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07639 | Date 14/11/2022 |
| Token No | SM/22-23/6268 14/11/2022 | Serial | 021 |
| Patient Name | Mrs. SUJATA ROY | Contact No | 9831963131 |
| Address | 39 LBS ROAD | Age | 26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||