Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00601 | Date 23/12/2019 |
| Token No | SM/24-25/26064 05/08/2024 | Serial | 079 |
| Patient Name | Miss PRATIGYA KUMARI | Contact No | 7209292346 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||