Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07539 | Date 29/07/2024 |
| Token No | SM/24-25/25807 31/07/2024 | Serial | 029 |
| Patient Name | Miss ARUSHI KUMARI | Contact No | 8481951046 |
| Address | 810 PURBAPARA GHORAMARA SERAMPORE 712203 | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||