Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06174 | Date 03/02/2024 |
| Token No | SM/24-25/33626 03/01/2025 | Serial | 029 |
| Patient Name | Mrs. NILAM KUMARI | Contact No | 6207616160 |
| Address | CHAKLAPARA PRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||