Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08046 | Date 18/10/2024 |
| Token No | SM/24-25/29618 18/10/2024 | Serial | 041 |
| Patient Name | Mrs. CHANDA DEVI | Contact No | 8583029740 |
| Address | BANGUR PARK RISHRA M 712248 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||