Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11556 | Date 22/05/2024 |
| Token No | SM/24-25/16409 22/05/2024 | Serial | 021 |
| Patient Name | Mrs. APPALAMMA | Contact No | |
| Address | 3 PITAMBAR DEY LANE | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||