Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07089 | Date 22/06/2024 |
| Token No | SM/24-25/33740 06/01/2025 | Serial | 020 |
| Patient Name | Miss PRIYA SRIVASTAV | Contact No | 7044017284 |
| Address | 80/A PRAVASHNAGAR SERAMPORE 712249 | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||