Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11867 | Date 30/07/2024 |
| Token No | SM/24-25/17818 30/07/2024 | Serial | 015 |
| Patient Name | Baby DIPIKA DAS. | Contact No | 9674618353 |
| Address | RAY LAND ROAD | Age | 1.5 months Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||