Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09423 | Date 11/06/2025 |
| Token No | SM/25-26/3486 13/06/2025 | Serial | 039 |
| Patient Name | Mrs. VARSHA KUMARI | Contact No | 9955125807 |
| Address | 55/J PRABASHNAGAR SERAMPORE 712249 | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||