Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10266 | Date 04/12/2025 |
| Token No | SM/25-26/11423 04/12/2025 | Serial | 022 |
| Patient Name | Mrs. MAYA SHARMA | Contact No | 8777042210 |
| Address | 65/A/9 M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||