Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12373 | Date 22/11/2024 |
| Token No | SM/24-25/19837 22/11/2024 | Serial | 010 |
| Patient Name | Miss ANSIKA KUMARI | Contact No | 8981944375 |
| Address | 79 DEY STREET | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||