Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06807 | Date 16/05/2024 |
| Token No | SM/25-26/4035 26/06/2025 | Serial | 055 |
| Patient Name | Miss LAKSHI KAHAR | Contact No | 8478837328 |
| Address | 97/5 PRAVASHNAGAR SERAMPORE 712249 | Age | 11 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||