Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06963 | Date 08/06/2024 |
| Token No | SM/24-25/22928 08/06/2024 | Serial | 047 |
| Patient Name | Miss SAINA | Contact No | 8420677447 |
| Address | 26/A MIYAJAN DARJI LANE SERAMPORE 712203 | Age | 9 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||