Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07507 | Date 23/07/2024 |
| Token No | SM/25-26/12382 27/12/2025 | Serial | 002 |
| Patient Name | Mrs. RUBI SINGH | Contact No | 7890738397 |
| Address | CHAKLAPARA PRAVASHNAGAR SERAMPORE 712249 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||