Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05048 | Date 04/09/2023 |
| Token No | SM/22-23/15587 17/11/2023 | Serial | 020 |
| Patient Name | Miss DEBANGSHI KUMARI SINGH | Contact No | 9007314945 |
| Address | 97/H/7 PRABASHNAGAR SERAMPORE 712249 | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 19 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||