Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12744 | Date 06/03/2025 |
| Token No | SM/24-25/21227 06/03/2025 | Serial | 013 |
| Patient Name | Mrs. MOHUA DEY | Contact No | 8017001727 |
| Address | 17 NEHERU NAGAR COLONY | Age | 27 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||