Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 12064 | Date 04/09/2024 |
| Token No | SM/24-25/18639 06/09/2024 | Serial | 009 |
| Patient Name | Mrs. MOTI KUMARI | Contact No | 6287835934 |
| Address | MANIKTALA BAZAR | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||