Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08305 | Date 28/11/2024 |
| Token No | SM/24-25/32099 02/12/2024 | Serial | 017 |
| Patient Name | Baby SHRISTI KURMI | Contact No | 9830501506 |
| Address | GHORAMARA PASCHIMPARA MALLICKPARA 712203 | Age | 2 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||