Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09109 | Date 16/04/2025 |
| Token No | SM/25-26/706 16/04/2025 | Serial | 021 |
| Patient Name | Mrs. RANI SHARMA | Contact No | 8240729755 |
| Address | A-5/205 SUBASH NAGAR HOUSING COMPLEX SERAMPORE 712249 | Age | 38 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||