Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06735 | Date 07/05/2024 |
| Token No | SM/24-25/37574 28/03/2025 | Serial | 020 |
| Patient Name | Miss AMBIKA DUBEY | Contact No | |
| Address | SERAMPORE | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/50 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||