Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08371 | Date 09/12/2024 |
| Token No | SM/24-25/32492 09/12/2024 | Serial | 034 |
| Patient Name | Miss KAVYA PASHI | Contact No | 6290244572 |
| Address | 65/25/13/C M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||