Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07844 | Date 05/09/2024 |
| Token No | SM/24-25/27775 05/09/2024 | Serial | 059 |
| Patient Name | Baby MISTI KUMARI | Contact No | 7003972282 |
| Address | 9/433 GURU GARDEN ROAD SERAMPORE 712249 | Age | 4 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||