Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 11728 | Date 01/07/2024 |
| Token No | SM/24-25/17258 01/07/2024 | Serial | 018 |
| Patient Name | Mrs. MALA BHUIYA | Contact No | 9874334794 |
| Address | J.N. LAHIRI ROAD | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||