Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03852 | Date 02/03/2023 |
| Token No | SM/22-23/7175 02/03/2023 | Serial | 016 |
| Patient Name | Miss DIPA PATWA | Contact No | 6291148294 |
| Address | 81/B PRABASHNAGAR SERAMPORE 712249 | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 27 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||