Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08402 | Date 17/12/2024 |
| Token No | SM/24-25/32858 17/12/2024 | Serial | 010 |
| Patient Name | Miss KHUSHI RAI | Contact No | 7064859093 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 15 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||