Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11086 | Date 01/02/2024 |
| Token No | SM/24-25/17855 01/08/2024 | Serial | 011 |
| Patient Name | Mrs. TUKUNI PRADHAN | Contact No | 7439006191 |
| Address | 45 DR. N L B STREET | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||