Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12680 | Date 21/02/2025 |
| Token No | SM/24-25/21045 21/02/2025 | Serial | 005 |
| Patient Name | Mrs. SANGITA DEBI | Contact No | 7061201072 |
| Address | RAM SITA LANE | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||