Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08557 | Date 16/01/2025 |
| Token No | SM/24-25/34186 16/01/2025 | Serial | 026 |
| Patient Name | Miss PRACHI KUMARI | Contact No | 7044121512 |
| Address | 1/B/26 PRAVASHNAGAR SERAMPORE 712249 | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||