Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04013 | Date 06/04/2023 |
| Token No | SM/24-25/25635 27/07/2024 | Serial | 037 |
| Patient Name | Baby MANVI RABIDAS | Contact No | 7044765231 |
| Address | GURU GARDEN ROAD HARIJAN BASTI SERAMPORE 712203 | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 13 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||