Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09640 | Date 26/07/2025 |
| Token No | SM/25-26/5397 26/07/2025 | Serial | 029 |
| Patient Name | Miss ANUSHKA GUPTA | Contact No | 8100265765 |
| Address | 65/19/6 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||