Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07728 | Date 22/08/2024 |
| Token No | SM/25-26/12314 23/12/2025 | Serial | 019 |
| Patient Name | Miss RITU MONDAL | Contact No | 9330231367 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 15 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||