Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11173 | Date 21/02/2024 |
| Token No | SM/22-23/14838 21/02/2024 | Serial | 007 |
| Patient Name | Miss ARADHYA JHA | Contact No | 8777582150 |
| Address | AKHRABATI LANE | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||