Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07533 | Date 26/07/2024 |
| Token No | SM/25-26/10530 17/11/2025 | Serial | 005 |
| Patient Name | Miss SUNITA PASWAN | Contact No | 7439404108 |
| Address | 97/N/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 14 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||