Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11846 | Date 25/07/2024 |
| Token No | SM/24-25/17773 27/07/2024 | Serial | 003 |
| Patient Name | Mrs. RIYANKA YADAV (BARIK) | Contact No | 7439294136 |
| Address | 55 RAILAND ROAD | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||