Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07137 | Date 26/06/2024 |
| Token No | SM/25-26/4851 17/07/2025 | Serial | 028 |
| Patient Name | Miss NARMADA SINGH | Contact No | 9883329797 |
| Address | 43/46/D PRAVASHNAGAR SERAMPORE 712249 | Age | 17 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||