Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02523 | Date 22/08/2022 |
| Token No | SM/22-23/12831 08/09/2023 | Serial | 020 |
| Patient Name | Miss BAISHNABI SINGH | Contact No | 8910816626 |
| Address | 100/B PRABASHNAGAR SERAMPORE 712249 | Age | 15 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||