Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06974 | Date 11/06/2024 |
| Token No | SM/25-26/3153 06/06/2025 | Serial | 026 |
| Patient Name | Miss AMISHA GROVER | Contact No | 8013572208 |
| Address | 7/2 4/20/C PRAVASHNAGAR SERAMPORE 712249 | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||