Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06302 | Date 06/07/2022 |
| Token No | SM/24-25/17914 05/08/2024 | Serial | 016 |
| Patient Name | Mrs. MIRA DAS.. | Contact No | NOT GIVEN |
| Address | 536 G T ROAD | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||