Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 03684 | Date 06/01/2020 |
| Token No | SM/24-25/20123 10/12/2024 | Serial | 009 |
| Patient Name | Mrs. SUBHADRA TAPADAR | Contact No | NOT GIVEN |
| Address | MAHESH COLONY | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||