Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04162 | Date 11/05/2023 |
| Token No | SM/25-26/2204 19/05/2025 | Serial | 012 |
| Patient Name | Miss LAXMI KUMARI SINGH | Contact No | 9091492210 |
| Address | 100/B PRAVASHNAGAR SERAMPORE 712249 | Age | 15 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||