Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05897 | Date 19/12/2023 |
| Token No | SM/24-25/33901 08/01/2025 | Serial | 052 |
| Patient Name | Mrs. PITU DHOLE | Contact No | 6290819765 |
| Address | SOCIETY MATH PROVASNAGAR SERAMPORE 712203 | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | 151CM cm |
| Diagnosis | |||