Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 12673 | Date 17/02/2025 |
| Token No | SM/24-25/20985 17/02/2025 | Serial | 005 |
| Patient Name | Miss SONALI PASWAN | Contact No | 9163505825 |
| Address | 16K SITAL SARKAR LANE | Age | 25 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||