Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06419 | Date 12/03/2024 |
| Token No | SM/24-25/35494 10/02/2025 | Serial | 065 |
| Patient Name | Miss ANJANA SINGH | Contact No | 7596898048 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 17 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||