Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06230 | Date 09/02/2024 |
| Token No | SM/25-26/8462 24/09/2025 | Serial | 053 |
| Patient Name | Miss TRISHA YADAV | Contact No | 7044747247 |
| Address | 47/A/3 PRAVASHNAGAR SERAMPORE 712249 | Age | 16 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||