Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01758 | Date 30/05/2022 |
| Token No | SM/22-23/240 30/05/2022 | Serial | 038 |
| Patient Name | Miss AANCHAL SINGH | Contact No | 7044976302 |
| Address | B8 411 SUBASHNAGAR SERAMPORE 712249 | Age | 6 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 19 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||