Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07693 | Date 16/11/2022 |
| Token No | SM/22-23/7107 22/12/2022 | Serial | 001 |
| Patient Name | Mrs. CHAMPA DAS.. | Contact No | 8820460080 |
| Address | 40B DOSTI LANE | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||