Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10708 | Date 01/11/2023 |
| Token No | SM/22-23/13122 01/11/2023 | Serial | 009 |
| Patient Name | Miss SANDHYA PRASAD | Contact No | 7439773697 |
| Address | 10 DOSTI LANE, PAL BAGAN | Age | 16 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||