Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08107 | Date 28/10/2024 |
| Token No | SM/24-25/30183 28/10/2024 | Serial | 002 |
| Patient Name | Miss PANKHURI YADAV | Contact No | 8231831663 |
| Address | 97/H/9 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 14 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||