Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07515 | Date 24/07/2024 |
| Token No | SM/25-26/10067 07/11/2025 | Serial | 005 |
| Patient Name | Miss ARADHYA SINGH | Contact No | 9748233244 |
| Address | 55/A/7 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 12 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||