Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09021 | Date 03/04/2025 |
| Token No | SM/25-26/22623 26/10/2026 | Serial | 013 |
| Patient Name | Miss PARBATI SINGH | Contact No | |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 14 Years,8 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||