Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05847 | Date 12/12/2023 |
| Token No | SM/24-25/33380 28/12/2024 | Serial | 044 |
| Patient Name | Miss SHIVANI SHARMA | Contact No | 7261045113 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||