Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07877 | Date 09/09/2024 |
| Token No | SM/24-25/27950 09/09/2024 | Serial | 046 |
| Patient Name | Miss NEHA HAZARI | Contact No | 8159919201 |
| Address | JANGALPARA JANGALPARA BAZAR 712701 | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||