Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09203 | Date 02/05/2025 |
| Token No | SM/25-26/1457 02/05/2025 | Serial | 046 |
| Patient Name | Miss PREETY VERMA | Contact No | 8240593943 |
| Address | 13/36 B B GHOSH ROAD MAA SARADA PALLY SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||