Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01453 | Date 18/04/2020 |
| Token No | SM/25-26/2066 15/05/2025 | Serial | 029 |
| Patient Name | Miss AABHA KUMARI | Contact No | 8229926967 |
| Address | 97/W PRABASHNAGAR SERAMPORE 712249 | Age | 11 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 21 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||