Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07351 | Date 03/07/2024 |
| Token No | SM/25-26/7188 01/09/2025 | Serial | 006 |
| Patient Name | Miss SHALONI KUMARI | Contact No | 9931812387 |
| Address | 43/27/A/3 PRAVASHNAGAR SERAMPORE 712249 | Age | 17 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||