Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12581 | Date 28/01/2025 |
| Token No | SM/24-25/20737 28/01/2025 | Serial | 001 |
| Patient Name | Mrs. SUKHIBALA DAS | Contact No | 6291236198 |
| Address | 7/C T B STREET | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||