Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09823 | Date 27/08/2025 |
| Token No | SM/25-26/6989 27/08/2025 | Serial | 063 |
| Patient Name | Mrs. KHUSHI ROY YADAV | Contact No | 6289257058 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 16 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||