Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05950 | Date 27/12/2023 |
| Token No | SM/22-23/16946 27/12/2023 | Serial | 035 |
| Patient Name | Miss PRATIVA MAHATO | Contact No | 9674182091 |
| Address | 10/A/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 17 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||