Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12323 | Date 12/11/2024 |
| Token No | SM/24-25/19661 12/11/2024 | Serial | 006 |
| Patient Name | Miss KARISHMA KUMARI | Contact No | 6290778221 |
| Address | 74 DEY STREET | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||