Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09569 | Date 07/07/2023 |
| Token No | SM/24-25/16179 10/05/2024 | Serial | 010 |
| Patient Name | Mrs. SUNITA DEBI | Contact No | 6290014255 |
| Address | 55 railand road.. | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||