Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07649 | Date 12/08/2024 |
| Token No | SM/25-26/11404 04/12/2025 | Serial | 003 |
| Patient Name | Miss TANIA KUMARI PASWAN | Contact No | 8013294647 |
| Address | 100/22 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 13 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||