Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09462 | Date 22/06/2023 |
| Token No | SM/22-23/10419 22/06/2023 | Serial | 021 |
| Patient Name | Miss PUJA RAJBHAR... | Contact No | 8910289301 |
| Address | 39 LBS ROAD | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||