Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04026 | Date 08/04/2023 |
| Token No | SM/22-23/8058 08/04/2023 | Serial | 021 |
| Patient Name | Miss MAHIMA TIWARI | Contact No | 8240290936 |
| Address | 97/K/1 PRABASHNAGAR SERAMPORE 712249 | Age | 8 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||