Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07624 | Date 09/08/2024 |
| Token No | SM/24-25/26427 10/08/2024 | Serial | 038 |
| Patient Name | Miss TANISHA PARVEEN | Contact No | 8100524530 |
| Address | 28/C CHILEKHANA ROAD SERAMPORE 712203 | Age | 8 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||