Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00244 | Date 25/09/2019 |
| Token No | SM/25-26/9991 05/11/2025 | Serial | 048 |
| Patient Name | Miss KOYEL SHARMA | Contact No | 9674744758 |
| Address | 43/24/2/A PRAVASHNAGAR SERAMPORE 712249 | Age | 17 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 90/60 mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||