Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08780 | Date 18/04/2023 |
| Token No | SM/22-23/8947 18/04/2023 | Serial | 008 |
| Patient Name | Mrs. SANDHYA MARIK | Contact No | 9903918250 |
| Address | 44 CHATRA BARUIPARA LANE | Age | 60 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||