Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12320 | Date 12/11/2024 |
| Token No | SM/24-25/19656 12/11/2024 | Serial | 001 |
| Patient Name | Miss AROHI SHAW | Contact No | 9088586388 |
| Address | 43 BHAGIRATHI LANE | Age | 4 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||