Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09207 | Date 05/05/2025 |
| Token No | SM/25-26/7766 10/09/2025 | Serial | 085 |
| Patient Name | Mrs. LAKSHMI SINGH | Contact No | 8240382197 |
| Address | 97/N/8/8 PRAVASHNAGAR SERAMPORE 712249 | Age | 22 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 90/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||