Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 04653 | Date 23/07/2021 |
| Token No | SM/24-25/17590 18/07/2024 | Serial | 032 |
| Patient Name | Mrs. RANU DE | Contact No | 9051026188 |
| Address | 26 THAKUR BATI STYREET | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||