Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05791 | Date 05/05/2022 |
| Token No | SM/24-25/20259 18/12/2024 | Serial | 011 |
| Patient Name | Mrs. SWAPNA DEBI.. | Contact No | NOT GIVEN |
| Address | 7A RAM SITA LANE | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||