Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07129 | Date 25/06/2024 |
| Token No | SM/24-25/23713 25/06/2024 | Serial | 057 |
| Patient Name | Miss MONA PRASAD | Contact No | 8420811217 |
| Address | 41/3 N S ROAD RISHRA HOOGHLY 712248 | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||