Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09269 | Date 12/05/2025 |
| Token No | SM/25-26/1991 14/05/2025 | Serial | 038 |
| Patient Name | Miss MADHURI PRAJAPATI | Contact No | 7439241382 |
| Address | 97/F/6 DHOBIA PARA PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||