Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05452 | Date 17/10/2023 |
| Token No | SM/22-23/16851 23/12/2023 | Serial | 010 |
| Patient Name | Baby RADHIKA SINGH | Contact No | 8420604892 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 4 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 11 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||