Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10118 | Date 31/10/2025 |
| Token No | SM/25-26/10579 17/11/2025 | Serial | 054 |
| Patient Name | Mrs. RAKHI KAHAR | Contact No | 8334073902 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||