Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09101 | Date 12/04/2025 |
| Token No | SM/25-26/649 12/04/2025 | Serial | 014 |
| Patient Name | Mrs. NIRMALA SAHANI | Contact No | 9088770772 |
| Address | 55/A/19 PRAVASHNAGAR SERAMPORE 712249 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||