Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12708 | Date 27/02/2025 |
| Token No | SM/24-25/21144 03/03/2025 | Serial | 005 |
| Patient Name | Mrs. MOHINI KUMARI | Contact No | 9939441733 |
| Address | 18/112 DR. N.L. BHATTACHARYA STREET | Age | 22 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||