Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08824 | Date 05/03/2025 |
| Token No | SM/24-25/36471 06/03/2025 | Serial | 077 |
| Patient Name | Miss KABITA SHARMA | Contact No | 7439770796 |
| Address | 43/24/2/A GURU GARDEN ROAD SERAMPORE 712249 | Age | 15 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||