Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09928 | Date 10/09/2025 |
| Token No | SM/25-26/7755 10/09/2025 | Serial | 074 |
| Patient Name | Miss SAKSHI JHA | Contact No | 7766919395 |
| Address | 9 B 6 M J ROAD PRAVASHNAGAR SERAMPORE 712203 | Age | 8 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||