Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 08181 | Date 19/01/2023 |
| Token No | SM/22-23/7634 02/02/2023 | Serial | 003 |
| Patient Name | Miss JHUNU BISWAL | Contact No | 8697263614 |
| Address | MANIKTALA DEY BAGAN | Age | 39 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||