Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06168 | Date 03/02/2024 |
| Token No | SM/22-23/18124 03/02/2024 | Serial | 021 |
| Patient Name | Miss RAGNI KUMARI | Contact No | 6207616160 |
| Address | CHAKLAPARA PRAVASHNAGAR SERAMPORE 712249 | Age | 7 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||