Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09055 | Date 07/04/2025 |
| Token No | SM/25-26/22615 26/10/2026 | Serial | 005 |
| Patient Name | Miss SANCHITA KUMARI | Contact No | 8478830788 |
| Address | 9/1/A/38 PRAVASHNAGAR SERAMPORE 712249 | Age | 15 Years,8 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||