Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07915 | Date 19/09/2024 |
| Token No | SM/24-25/28445 19/09/2024 | Serial | 073 |
| Patient Name | Miss SHIBANYA BHARTI | Contact No | 9123338981 |
| Address | 9/436 PRAVASHNAGAR SERAMPORE 712249 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||