Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 10191 | Date 19/11/2025 |
| Token No | SM/25-26/10696 20/11/2025 | Serial | 009 |
| Patient Name | Mrs. RUNU PANDEY | Contact No | 8336865515 |
| Address | 23/B/1 G T ROAD SERAMPORE 712203 | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||