Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06999 | Date 14/06/2024 |
| Token No | SM/25-26/3265 10/06/2025 | Serial | 003 |
| Patient Name | Miss KHUSHI KUMARI | Contact No | 9748258089 |
| Address | 66/B GURU GARDEN ROAD PRABASNAGAR SERAMPORE 712249 | Age | 12 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||