Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04452 | Date 06/07/2023 |
| Token No | SM/22-23/10248 06/07/2023 | Serial | 016 |
| Patient Name | Miss AROSHI KUMARI | Contact No | |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||