Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07807 | Date 03/09/2024 |
| Token No | SM/24-25/27587 03/09/2024 | Serial | 039 |
| Patient Name | Miss ANU KUMARI | Contact No | 8777069457 |
| Address | 835/35 SHRI KRISHNA NAGAR RISHRA M SERAMPORE 712249 | Age | 10 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||