Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05428 | Date 13/10/2023 |
| Token No | SM/22-23/14383 13/10/2023 | Serial | 038 |
| Patient Name | Mrs. HARSHIT BHAGAT | Contact No | 8582989226 |
| Address | 97/3 TOPSI ROAD SERAMPORE 700039 | Age | 4 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||