Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02363 | Date 01/08/2022 |
| Token No | SM/22-23/3321 10/10/2022 | Serial | 032 |
| Patient Name | Baby MAHI KUMARI | Contact No | |
| Address | PRABASHNAGAR CHAKLAPARA SERAMPORE 712249 | Age | 4 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||