Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08904 | Date 19/03/2025 |
| Token No | SM/24-25/37080 19/03/2025 | Serial | 012 |
| Patient Name | Mrs. NEHA KUMARI | Contact No | 8481903741 |
| Address | 9/1/A/38 GURUGARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 23 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||