Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00601 | Date 23/12/2019 |
| Token No | SM/25-26/5450 28/07/2025 | Serial | 045 |
| Patient Name | Miss PRATIGYA KUMARI | Contact No | 7209292346 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 13 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||