Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04206 | Date 22/05/2023 |
| Token No | SM/22-23/9015 22/05/2023 | Serial | 008 |
| Patient Name | Miss SHARDHA YADAV | Contact No | |
| Address | 97/L PRAVASHNAGAR SERAMPORE 712249 | Age | 7 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||