Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11986 | Date 21/08/2024 |
| Token No | SM/24-25/18319 21/08/2024 | Serial | 033 |
| Patient Name | Mrs. SHANTI RAY | Contact No | 6289517296 |
| Address | 86C/5 DEY STREET | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||