Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03308 | Date 31/10/2019 |
| Token No | SM/24-25/15735 15/04/2024 | Serial | 016 |
| Patient Name | Miss BHUMI KUMARI RAM | Contact No | NOT GIVEN |
| Address | 4 DEY GHAT LANE | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 27 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||