Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08373 | Date 09/12/2024 |
| Token No | SM/24-25/32863 17/12/2024 | Serial | 015 |
| Patient Name | Miss ANSHU KUMARI | Contact No | 9123840921 |
| Address | 81/B PRAVASHNAGAR SERAMPORE 712249 | Age | 12 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||