Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09555 | Date 10/07/2025 |
| Token No | SM/25-26/4518 10/07/2025 | Serial | 013 |
| Patient Name | Miss NITIKA CHOUDHARY | Contact No | 9477747818 |
| Address | 34 K M BHATTACHARYA STREET SERAMPORE 712201 | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||