Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 05855 | Date 17/05/2022 |
| Token No | SM/24-25/16830 12/06/2024 | Serial | 003 |
| Patient Name | Mrs. HIMANTI CHALKI PAL | Contact No | 9836525856 |
| Address | 451/A G T ROAD | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||