Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09871 | Date 02/09/2025 |
| Token No | SM/25-26/7333 02/09/2025 | Serial | 048 |
| Patient Name | Mrs. MAMTA SINGH | Contact No | 8100134078 |
| Address | 120 PRAVASHNAGAR SERAMPORE 712249 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||