Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00598 | Date 23/12/2019 |
| Token No | SM/22-23/18069 02/02/2024 | Serial | 013 |
| Patient Name | Miss ANUSKA KUMARI | Contact No | 8240117477 |
| Address | SATGHARA PASCHIMPARA SERAMPORE 712203 | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||