Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11729 | Date 01/07/2024 |
| Token No | SM/24-25/17259 01/07/2024 | Serial | 019 |
| Patient Name | Miss RAJASHREE PANDA | Contact No | 6289562968 |
| Address | INDIA JUTE MILL | Age | 7 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||