Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11525 | Date 13/05/2024 |
| Token No | SM/24-25/18709 09/09/2024 | Serial | 042 |
| Patient Name | Mrs. RITU DAS | Contact No | 8820759791 |
| Address | 19 AKHRA BATI LANE | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||