Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10224 | Date 27/11/2025 |
| Token No | SM/25-26/11064 27/11/2025 | Serial | 017 |
| Patient Name | Mrs. POOJA KUMARI | Contact No | 7439404108 |
| Address | 97/N/2 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||