Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05371 | Date 09/10/2023 |
| Token No | SM/24-25/36425 06/03/2025 | Serial | 031 |
| Patient Name | Miss CHANDA KUMARI | Contact No | 8250440832 |
| Address | 10/B HARIPARA LANE SERAMPORE 712203 | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||