Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03860 | Date 03/03/2023 |
| Token No | SM/22-23/7214 03/03/2023 | Serial | 006 |
| Patient Name | Miss ANNASHA YADAV | Contact No | 7044747247 |
| Address | 47/A/3 PRAVASHNAGAR SERAMPORE 712249 | Age | 8 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||