Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07664 | Date 13/08/2024 |
| Token No | SM/24-25/27722 05/09/2024 | Serial | 006 |
| Patient Name | Mrs. BINITA JHA | Contact No | 8479039001 |
| Address | 31 MAHESH BOSE PARA MAHESH COLONY 712201 | Age | 73 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||