Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10127 | Date 24/08/2023 |
| Token No | SM/24-25/19778 20/11/2024 | Serial | 009 |
| Patient Name | Mrs. SHANKARI DAS.. | Contact No | 9433021784 |
| Address | 46A L.M. B. STREET | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||