Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04921 | Date 23/08/2023 |
| Token No | SM/25-26/8832 09/10/2025 | Serial | 016 |
| Patient Name | Miss RAKHI TIWARI | Contact No | 8240290936 |
| Address | 97/K GURU GARDEN ROAD SERAMPORE 712249 | Age | 11 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||