Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10311 | Date 05/09/2023 |
| Token No | SM/22-23/12280 05/09/2023 | Serial | 012 |
| Patient Name | Miss SRISTI GUPTA | Contact No | 9038276169 |
| Address | 3 DEY GHAT LANE | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||