Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06817 | Date 17/05/2024 |
| Token No | SM/25-26/845 19/04/2025 | Serial | 013 |
| Patient Name | Miss SNEHA OJHA | Contact No | 6290392983 |
| Address | 62 PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||