Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09415 | Date 09/06/2025 |
| Token No | SM/25-26/9064 13/10/2025 | Serial | 067 |
| Patient Name | Mrs. ANJALI KUMARI | Contact No | 8777599829 |
| Address | B/8/104 PRAVASHNAGAR SERAMPORE 712249 | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||