Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06751 | Date 09/05/2024 |
| Token No | SM/24-25/21766 09/05/2024 | Serial | 090 |
| Patient Name | Miss KABEYA CHOUHAN | Contact No | 9830551518 |
| Address | 120/B GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 9 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||