Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 05544 | Date 16/03/2022 |
| Token No | SM/21-22/2438 16/03/2022 | Serial | 003 |
| Patient Name | Baby VEDANT MAJHI | Contact No | 8697183090 |
| Address | 70 AKHRABARI LANE | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||