Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03191 | Date 19/11/2022 |
| Token No | SM/22-23/4556 19/11/2022 | Serial | 001 |
| Patient Name | Baby TANIYA SINGH | Contact No | 9433221059 |
| Address | 191 RAJYADHARPUR GOV COLONY SERAMPORE 712203 | Age | 2 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||