Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12104 | Date 17/09/2024 |
| Token No | SM/24-25/18795 17/09/2024 | Serial | 001 |
| Patient Name | Mrs. SOMA DEY | Contact No | 8334884774 |
| Address | 41 N N COLONY | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||