Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07737 | Date 24/08/2024 |
| Token No | SM/24-25/27163 24/08/2024 | Serial | 021 |
| Patient Name | Miss ANSHU KUMARI | Contact No | 8252336376 |
| Address | SATGHARA P SERAMPORE 712203 | Age | 11 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||