Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05229 | Date 25/09/2023 |
| Token No | SM/25-26/9501 24/10/2025 | Serial | 027 |
| Patient Name | Miss AYANTIKA KHANRA | Contact No | 7003521788 |
| Address | 43/2 PRABASHNAGAR SERAMPORE 712249 | Age | 17 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||