Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07142 | Date 26/06/2024 |
| Token No | SM/25-26/4933 18/07/2025 | Serial | 014 |
| Patient Name | Mrs. PRITI KUMARI | Contact No | 6290179023 |
| Address | 91 NEW MAHESH SERAMPORE 712203 | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||