Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11449 | Date 25/04/2024 |
| Token No | SM/24-25/16140 09/05/2024 | Serial | 039 |
| Patient Name | Mrs. BANDANA SINGH | Contact No | 7059161248 |
| Address | 14 AKC BHATTACHARJEE ST | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||