Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10113 | Date 30/10/2025 |
| Token No | SM/25-26/9684 30/10/2025 | Serial | 041 |
| Patient Name | Mrs. LALITA KUMARI SINGH | Contact No | 9470689463 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||