Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 07440 | Date 28/10/2022 |
| Token No | SM/24-25/16968 19/06/2024 | Serial | 022 |
| Patient Name | Mrs. ASHIMA NATH | Contact No | 9681990801 |
| Address | 48 KHAS BAGAN | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||