Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03012 | Date 01/11/2022 |
| Token No | SM/24-25/28910 30/09/2024 | Serial | 008 |
| Patient Name | Miss ANSHIKA TEWARI | Contact No | 9830048788 |
| Address | 97U/2 PRABASHNAGAR SERAMPORE 712249 | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||