Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 09311 | Date 12/06/2023 |
| Token No | SM/22-23/10126 12/06/2023 | Serial | 033 |
| Patient Name | Baby ANANYA SHA | Contact No | 9163787426 |
| Address | 125/A G T ROAD, MANIKTALA, 712201 | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||