Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10173 | Date 15/11/2025 |
| Token No | SM/25-26/10429 15/11/2025 | Serial | 008 |
| Patient Name | Mrs. RUBI KUMARI SAHANI | Contact No | 8431594262 |
| Address | B-1 106 SUBHASNAGAR HOUSING COMPLEX PRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||