Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06311 | Date 19/02/2024 |
| Token No | SM/22-23/18788 19/02/2024 | Serial | 066 |
| Patient Name | Miss TANIYA KUMARI PASWAN | Contact No | 8013294647 |
| Address | 122 PRAVASHNAGAR SERAMPORE 712249 | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 27 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||