Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07693 | Date 19/08/2024 |
| Token No | SM/24-25/26821 19/08/2024 | Serial | 053 |
| Patient Name | Miss SAKSHI RAJBHAR | Contact No | 8777378339 |
| Address | 82/A GURU GARDEN ROAD SERAMPORE 712249 | Age | 13 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||