Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06342 | Date 23/02/2024 |
| Token No | SM/22-23/18958 23/02/2024 | Serial | 013 |
| Patient Name | Miss SHREYA KUMARI PRASAD | Contact No | 8910428203 |
| Address | 97/P/10 PRAVASHNAGAR SERAMPORE 712249 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||