Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08017 | Date 14/10/2024 |
| Token No | SM/25-26/15444 02/03/2026 | Serial | 020 |
| Patient Name | Miss PUJA SINGH | Contact No | 9163842292 |
| Address | 75 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 16 Years,2 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||