Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03019 | Date 01/11/2022 |
| Token No | SM/22-23/3945 01/11/2022 | Serial | 042 |
| Patient Name | Miss RITIKA SINGH | Contact No | 7450060919 |
| Address | 8/B/7 M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 13 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||