Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05229 | Date 25/09/2023 |
| Token No | SM/22-23/17586 18/01/2024 | Serial | 022 |
| Patient Name | Miss AYANTIKA KHANRA | Contact No | 7003521788 |
| Address | 43/2 PRABASHNAGAR SERAMPORE 712249 | Age | 17 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||