Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02827 | Date 29/09/2022 |
| Token No | SM/25-26/3048 05/06/2025 | Serial | 006 |
| Patient Name | Mrs. NISHA KUMARI | Contact No | 7596980011 |
| Address | 97/P/13 PRABASHNAGAR SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||