Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 12518 | Date 10/01/2025 |
| Token No | SM/24-25/20444 10/01/2025 | Serial | 020 |
| Patient Name | Mrs. MALA BHUIYA. | Contact No | 9874334794 |
| Address | J.N. LAHIRI. ROAD | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||