Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05877 | Date 19/05/2022 |
| Token No | SM/22-23/3023 19/05/2022 | Serial | 006 |
| Patient Name | Baby SRISHTI GUPTA | Contact No | 9038276169 |
| Address | 3 DEY GHAT LANE | Age | 1 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||