Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08771 | Date 17/04/2023 |
| Token No | SM/24-25/18086 09/08/2024 | Serial | 025 |
| Patient Name | Mrs. KAJAL KUMARI | Contact No | 6289879020 |
| Address | 78 DEY STREET | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||