Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07104 | Date 24/06/2024 |
| Token No | SM/24-25/23613 24/06/2024 | Serial | 037 |
| Patient Name | Mrs. LALMATI DEVI PANDIT | Contact No | 6291659117 |
| Address | PANDIT SATGHARA MALLICKPARA 712203 | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 84 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||