Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09604 | Date 21/07/2025 |
| Token No | SM/25-26/5741 02/08/2025 | Serial | 055 |
| Patient Name | Miss ANCHAL PRASAD | Contact No | 7003965117 |
| Address | 9/1/A/112 M G ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||