Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03456 | Date 20/12/2022 |
| Token No | SM/22-23/5469 20/12/2022 | Serial | 015 |
| Patient Name | Baby ANANYA TIWARI | Contact No | 9262660309 |
| Address | 97/K/1 PRABASHNAGAR SERAMPORE 712249 | Age | 3 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||