Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04631 | Date 27/07/2023 |
| Token No | SM/22-23/11036 27/07/2023 | Serial | 020 |
| Patient Name | Mrs. SHIBANI BAG | Contact No | 9564278112 |
| Address | RAJBOLHAT RAJHATI HARIPAL | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||