Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07263 | Date 29/06/2024 |
| Token No | SM/24-25/24063 29/06/2024 | Serial | 044 |
| Patient Name | Miss YASHI ROY | Contact No | |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||