Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07420 | Date 26/10/2022 |
| Token No | SM/22-23/5843 26/10/2022 | Serial | 027 |
| Patient Name | Baby ISHANVI AGRAHARI | Contact No | 6291839121 |
| Address | 82 DEY STREET | Age | 1 month 20 days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||