Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05824 | Date 09/12/2023 |
| Token No | SM/22-23/16298 09/12/2023 | Serial | 031 |
| Patient Name | Miss KALPANA KUMARI DUBEY | Contact No | 9330175661 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 18 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||