Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01449 | Date 17/04/2020 |
| Token No | SM/25-26/12226 20/12/2025 | Serial | 066 |
| Patient Name | Miss RUNJHUM SINGH | Contact No | 7890752715 |
| Address | 100/B SERAMPORE PRABASHNAGAR 712249 | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||