Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06625 | Date 25/04/2024 |
| Token No | SM/24-25/21137 25/04/2024 | Serial | 012 |
| Patient Name | Miss SHREYA SINGH | Contact No | 9051571979 |
| Address | 55 NO ROYLAND ROAD SERAMPORE 712201 | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||