Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 12745 | Date 06/03/2025 |
| Token No | SM/24-25/21230 06/03/2025 | Serial | 016 |
| Patient Name | Mrs. BITHI NANDAN | Contact No | 6291383405 |
| Address | PATUAPARA | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||