Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02279 | Date 20/07/2022 |
| Token No | SM/25-26/11454 04/12/2025 | Serial | 053 |
| Patient Name | Mrs. PUJA SHARMA | Contact No | 6291856031 |
| Address | 97/Z/4 PRABASHNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||