Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04926 | Date 23/08/2023 |
| Token No | SM/22-23/12239 23/08/2023 | Serial | 044 |
| Patient Name | Miss GEETIKA KUMARI | Contact No | 7254867172 |
| Address | CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||