Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08990 | Date 28/03/2025 |
| Token No | SM/24-25/37601 28/03/2025 | Serial | 047 |
| Patient Name | Miss OINDRILA DEY | Contact No | 8961667574 |
| Address | 43/14/1 PRAVASHNAGAR SERAMPORE 712203 | Age | 11 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||