Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08086 | Date 23/10/2024 |
| Token No | SM/25-26/9866 03/11/2025 | Serial | 039 |
| Patient Name | Miss PINKI KUMARI | Contact No | 9903335299 |
| Address | 43/D PRABASHNAGAR PURBAPARA SERAMPORE 712249 | Age | 12 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||