Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12225 | Date 08/10/2024 |
| Token No | SM/24-25/19272 08/10/2024 | Serial | 011 |
| Patient Name | Mrs. BAISHALI DAS | Contact No | 8583037449 |
| Address | 38 AKHRA BATI LANE | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||