Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06961 | Date 08/06/2024 |
| Token No | SM/25-26/3717 19/06/2025 | Serial | 009 |
| Patient Name | Miss SHIBANI KUMARI | Contact No | 9088240667 |
| Address | 65/25/5/B/2 MAHESH JANNAGAR ROAD CHAKLAPARA SERAMPORE 712249 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||