Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04114 | Date 28/04/2023 |
| Token No | SM/22-23/8475 28/04/2023 | Serial | 007 |
| Patient Name | Miss AAYUSHI KUMARI | Contact No | 8481885598 |
| Address | 13/82 B B GHOSH ROAD SERAMPORE 712249 | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||