Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08612 | Date 22/03/2023 |
| Token No | SM/22-23/8455 22/03/2023 | Serial | 002 |
| Patient Name | Mrs. MANJILA BEGUM | Contact No | 7449823850 |
| Address | 25 DEY STREET | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||