Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 09145 | Date 21/04/2025 |
| Token No | SM/25-26/969 21/04/2025 | Serial | 064 |
| Patient Name | Miss SONAM KUMARI | Contact No | 8444996840 |
| Address | 835/35 S K NAGAR PRABASHNAGAR SERAMPORE 712249 | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||