Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09381 | Date 02/06/2025 |
| Token No | SM/25-26/2936 02/06/2025 | Serial | 059 |
| Patient Name | Mrs. DOLI RAJENDRA GUPTA | Contact No | 7044355233 |
| Address | WEST JANNAGAR ROAD SERAMPORE PRAVASHNAGAR 712249 | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||