Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07890 | Date 06/12/2022 |
| Token No | SM/22-23/6828 06/12/2022 | Serial | 005 |
| Patient Name | Mrs. DAMAYANTI BISWAL.. | Contact No | 8621994989 |
| Address | 7/282 COCKRAIN ROAD | Age | 48 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||