Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09038 | Date 12/05/2023 |
| Token No | SM/22-23/9542 12/05/2023 | Serial | 030 |
| Patient Name | Miss KAJAL MISHRA | Contact No | 8910275008 |
| Address | SIRISHTALA | Age | 18 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||