Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09438 | Date 12/06/2025 |
| Token No | SM/25-26/3415 12/06/2025 | Serial | 033 |
| Patient Name | Miss RANI KUMARI | Contact No | 9088240667 |
| Address | 65/25/5/B/2 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||