Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11672 | Date 19/06/2024 |
| Token No | SM/24-25/16948 19/06/2024 | Serial | 002 |
| Patient Name | Mrs. MUNNI DEBI | Contact No | 8420771031 |
| Address | PACHUGOPAL BHADURI SARANI | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||