Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11765 | Date 10/07/2024 |
| Token No | SM/24-25/17427 10/07/2024 | Serial | 010 |
| Patient Name | Mrs. BRINDABATI BISWAL | Contact No | 7003265017 |
| Address | 43 PANCHANAN TALA LANE | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||