Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 01826 | Date 03/06/2022 |
| Token No | SM/22-23/9530 13/06/2023 | Serial | 008 |
| Patient Name | Miss PRIYA SHAW | Contact No | 8100269558 |
| Address | 9 S S ROAD PRAVASHNAGAR RISHRA M 712249 | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||