Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09096 | Date 11/04/2025 |
| Token No | SM/25-26/596 11/04/2025 | Serial | 008 |
| Patient Name | Mrs. ROSHANI VERMA | Contact No | 8420203954 |
| Address | 66/A GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||