Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05331 | Date 04/10/2023 |
| Token No | SM/22-23/14075 07/10/2023 | Serial | 030 |
| Patient Name | Miss RAGINI GUPTA | Contact No | 9007091777 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 8 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||