Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03853 | Date 02/03/2023 |
| Token No | SM/24-25/32547 09/12/2024 | Serial | 089 |
| Patient Name | Miss SHREYA PATWA | Contact No | 6291148294 |
| Address | 97/R PRABASHNAGAR SERAMPORE 712249 | Age | 11 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 23 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||