Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02577 | Date 26/08/2022 |
| Token No | SM/25-26/3987 26/06/2025 | Serial | 007 |
| Patient Name | Miss ARUSHI KUMARI | Contact No | |
| Address | 107/A PRAVASHNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||