Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05104 | Date 11/09/2023 |
| Token No | SM/22-23/12932 11/09/2023 | Serial | 012 |
| Patient Name | Miss MIRA KUMARI | Contact No | 6291871767 |
| Address | 97/Z/3 PRABASHNAGAR SERAMPORE 712249 | Age | 15 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||