Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10265 | Date 04/12/2025 |
| Token No | SM/25-26/11421 04/12/2025 | Serial | 020 |
| Patient Name | Mrs. PRITI KUMARI | Contact No | 6299613041 |
| Address | 9/1/A/18 PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||