Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07653 | Date 12/08/2024 |
| Token No | SM/24-25/35066 04/02/2025 | Serial | 007 |
| Patient Name | Miss SANIA KUMARI | Contact No | 8013294647 |
| Address | 100/22 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||