Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05748 | Date 28/11/2023 |
| Token No | SM/22-23/15877 28/11/2023 | Serial | 014 |
| Patient Name | Miss ANKITA YADAV | Contact No | 8777538651 |
| Address | PANDIT SATGHARA SERAMPORE 712203 | Age | 8 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||