Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12806 | Date 19/03/2025 |
| Token No | SM/25-26/1289 19/07/2025 | Serial | 008 |
| Patient Name | Mrs. NEHA KUMARI GIRI | Contact No | 8101954650 |
| Address | LOKENATH PUR (BANERJEE PARA) | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||