Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11894 | Date 05/08/2024 |
| Token No | SM/24-25/17917 05/08/2024 | Serial | 019 |
| Patient Name | Miss ANTARA PARIDA | Contact No | 6289649431 |
| Address | 114 R.B. SARANI | Age | 11 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||