Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10001 | Date 24/09/2025 |
| Token No | SM/25-26/11903 13/12/2025 | Serial | 048 |
| Patient Name | Mrs. CHANDANI KUMARI | Contact No | 9073029583 |
| Address | 97/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||