Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09586 | Date 17/07/2025 |
| Token No | SM/25-26/4906 17/07/2025 | Serial | 083 |
| Patient Name | Miss SWETA KUMARI | Contact No | 8240974747 |
| Address | 165/A/1 M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 17 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||