Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01681 | Date 25/05/2022 |
| Token No | SM/24-25/22927 08/06/2024 | Serial | 046 |
| Patient Name | Miss GURIYA | Contact No | 8420677447 |
| Address | 26/A MIYAJAN DARJI LANE SERAMPORE 712203 | Age | 7 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||