Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05296 | Date 29/09/2023 |
| Token No | SM/22-23/13762 29/09/2023 | Serial | 059 |
| Patient Name | Miss GAURI KUMARI......... | Contact No | 9341730843 |
| Address | 97/K/1 PRABASHNAGAR SERAMPORE 712203 | Age | 10 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||