Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09663 | Date 18/07/2023 |
| Token No | SM/22-23/10971 18/07/2023 | Serial | 005 |
| Patient Name | Miss SHREYANKA MALIK | Contact No | 9903590865 |
| Address | 40/A BHAGIRATHI LANE | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||