Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11803 | Date 18/07/2024 |
| Token No | SM/24-25/17570 18/07/2024 | Serial | 012 |
| Patient Name | Baby RADHA RAJBHAR | Contact No | 8961118884 |
| Address | 12 PITAMBAR DEY LANE | Age | 10 MONTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||