Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06169 | Date 21/06/2022 |
| Token No | SM/24-25/18828 18/09/2024 | Serial | 013 |
| Patient Name | Mrs. NIPA DEY | Contact No | 9831595476 |
| Address | 595A G.T. ROAD | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||