Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05700 | Date 22/11/2023 |
| Token No | SM/22-23/15696 22/11/2023 | Serial | 020 |
| Patient Name | Miss SANGEETA KUMARI THAKUR | Contact No | 9748116627 |
| Address | 107/A GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||