Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09644 | Date 28/07/2025 |
| Token No | SM/25-26/5735 02/08/2025 | Serial | 049 |
| Patient Name | Miss PURNIMA KUMARI | Contact No | 6289068358 |
| Address | B-3/303 SUBHASNAGAR HSG COMPL SERAMPORE 712249 | Age | 11 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||