Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07004 | Date 14/06/2024 |
| Token No | SM/25-26/3267 10/06/2025 | Serial | 005 |
| Patient Name | Miss KRITI GUPTA | Contact No | 8100461566 |
| Address | 122 PRAVASHNAGAR SERAMPORE 712249 | Age | 12 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||