Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12780 | Date 13/03/2025 |
| Token No | SM/24-25/21322 13/03/2025 | Serial | 011 |
| Patient Name | Baby ANNIKA THAKUR | Contact No | 9836989599 |
| Address | 3 PITAMBAR DEY LANE | Age | 1 month Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||