Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07149 | Date 26/06/2024 |
| Token No | SM/24-25/23914 27/06/2024 | Serial | 098 |
| Patient Name | Miss SWATI KUMARI | Contact No | 8481091913 |
| Address | GHORAMARA P PURBAPARA SERAMPORE 712203 | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||