Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09748 | Date 13/08/2025 |
| Token No | SM/25-26/7744 10/09/2025 | Serial | 063 |
| Patient Name | Mrs. ANIMA BHANDARI | Contact No | 9051335665 |
| Address | 65/25/51 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 66 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||