Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05388 | Date 10/10/2023 |
| Token No | SM/22-23/14269 11/10/2023 | Serial | 041 |
| Patient Name | Miss MANVI TIWARI | Contact No | 9883670194 |
| Address | 97/K/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||