Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09575 | Date 08/07/2023 |
| Token No | SM/25-26/2401 25/10/2025 | Serial | 023 |
| Patient Name | Mrs. SOUMI SINGH | Contact No | 6296098988 |
| Address | NEAR JOLKOL | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||