Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08635 | Date 31/01/2025 |
| Token No | SM/25-26/4099 30/06/2025 | Serial | 010 |
| Patient Name | Miss SWASTIKA PAL | Contact No | 7890955054 |
| Address | 43/46/G PRAVASHNAGAR SERAMPORE 712249 | Age | 17 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||