Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08135 | Date 06/01/2023 |
| Token No | SM/24-25/16311 16/05/2024 | Serial | 030 |
| Patient Name | Mrs. KUNTU BARADA | Contact No | NOT GIVEN |
| Address | MANIKTALA | Age | 71 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||