Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07964 | Date 30/09/2024 |
| Token No | SM/24-25/29413 14/10/2024 | Serial | 018 |
| Patient Name | Baby AMRITA KUMARI PANDIT | Contact No | 6291659117 |
| Address | PANDIT SATGHARA MALLICKPARA 712203 | Age | 4 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||