Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10031 | Date 08/10/2025 |
| Token No | SM/25-26/9349 17/10/2025 | Serial | 051 |
| Patient Name | Mrs. PINKI KUMARI PRASAD | Contact No | 8100599606 |
| Address | 97/U/2 PRAVASNAGAR SERAMPORE 712249 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||