Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08286 | Date 07/02/2023 |
| Token No | SM/24-25/17689 23/07/2024 | Serial | 003 |
| Patient Name | Mrs. PUNAM RAJBHAR | Contact No | 8961118884 |
| Address | 82 dey street | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||