Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11721 | Date 29/06/2024 |
| Token No | SM/24-25/17237 29/06/2024 | Serial | 006 |
| Patient Name | Mrs. MALATI DAS | Contact No | 6289550677 |
| Address | 13 DEY STREET | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||