Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07996 | Date 07/10/2024 |
| Token No | SM/25-26/11216 29/11/2025 | Serial | 056 |
| Patient Name | Miss RAMITA KUMARI YADAV | Contact No | 9804862454 |
| Address | 37/2/E M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||