Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06324 | Date 21/02/2024 |
| Token No | SM/22-23/18873 21/02/2024 | Serial | 023 |
| Patient Name | Mrs. PRATIMA SHAW | Contact No | 8820062273 |
| Address | 969 S K NAGAR RISHRA M PRABASNAGAR 712249 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||