Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02648 | Date 07/09/2022 |
| Token No | SM/22-23/2542 07/09/2022 | Serial | 013 |
| Patient Name | Miss SHRISHTI KUMARI SINGH | Contact No | 7044338884 |
| Address | 99/B/A PRABASHNAGAR SERAMPORE 712249 | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||