Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05644 | Date 04/04/2022 |
| Token No | SM/22-23/2612 04/04/2022 | Serial | 018 |
| Patient Name | Miss SANEHA KUMARI... | Contact No | NOT GIVEN |
| Address | 5B DEY GHAT LANE | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||