Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04424 | Date 04/07/2023 |
| Token No | SM/25-26/6482 18/08/2025 | Serial | 020 |
| Patient Name | Miss KAJAL KUMARI | Contact No | 9903335299 |
| Address | 43/D PRABASHNAGAR PURBAPARA SERAMPORE 712249 | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||