Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12435 | Date 07/12/2024 |
| Token No | SM/24-25/20077 07/12/2024 | Serial | 014 |
| Patient Name | Mrs. PRIYANKA SHAW | Contact No | 8240745015 |
| Address | 93 R B SARANI | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||