Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04795 | Date 11/08/2023 |
| Token No | SM/22-23/11697 11/08/2023 | Serial | 017 |
| Patient Name | Miss DAMINI KUMARI | Contact No | 8210186646 |
| Address | 9/433 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 7 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||