Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11354 | Date 02/04/2024 |
| Token No | SM/24-25/15574 02/04/2024 | Serial | 010 |
| Patient Name | Mrs. SHANTI SINGH.. | Contact No | 9163003147 |
| Address | 19 PANDIT KALINATH BHATTACHARYA STREET | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||