Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08922 | Date 20/03/2025 |
| Token No | SM/24-25/37280 22/03/2025 | Serial | 019 |
| Patient Name | Miss MENUKA KUMARI | Contact No | 7890962590 |
| Address | 9/423 PRAVASHNAGAR SERAMPORE 712249 | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||