Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07365 | Date 05/07/2024 |
| Token No | SM/24-25/24665 08/07/2024 | Serial | 059 |
| Patient Name | Mrs. KUMKUM DEVI | Contact No | 8013358148 |
| Address | PANDIT SATGHARA MALLICKPARA 712203 | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||