Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03551 | Date 02/01/2023 |
| Token No | SM/25-26/6418 14/08/2025 | Serial | 077 |
| Patient Name | Miss ANKITA AGARWAL | Contact No | 9163171160 |
| Address | 5 NO MUSALMAN PARA SERAMPORE 712203 | Age | 7 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||