Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07590 | Date 10/11/2022 |
| Token No | SM/22-23/6176 10/11/2022 | Serial | 020 |
| Patient Name | Master PRATYUSH SAHU | Contact No | 7003876095 |
| Address | 48/12 BHAGIRATHI LANE | Age | 2 YR 6 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||