Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08467 | Date 28/02/2023 |
| Token No | SM/22-23/8090 28/02/2023 | Serial | 009 |
| Patient Name | Mrs. SULEKHA DAS | Contact No | 6289482153 |
| Address | 4 AKHRA BATI LANE | Age | 32 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||