Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 06456 | Date 21/03/2024 |
| Token No | SM/24-25/35772 17/02/2025 | Serial | 047 |
| Patient Name | Miss ARPITA PATHAK | Contact No | 7439616745 |
| Address | 522 CHITTARANJAN COLONY NABANAGAR N24 PRGS 743136 | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||