Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07806 | Date 25/11/2022 |
| Token No | SM/22-23/7362 04/01/2023 | Serial | 025 |
| Patient Name | Mrs. SWAPNA DAS.. | Contact No | 9382559511 |
| Address | 50C RAILAND ROAD | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||