Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08176 | Date 18/01/2023 |
| Token No | SM/22-23/7534 18/01/2023 | Serial | 015 |
| Patient Name | Miss SUDHA CHOUDHARY | Contact No | 6291165852 |
| Address | 62/A RAILAND ROAD | Age | 22 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||