Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12597 | Date 30/01/2025 |
| Token No | SM/24-25/20792 30/01/2025 | Serial | 015 |
| Patient Name | Mrs. MUNMUN AGARWAL | Contact No | 6290533438 |
| Address | 302/7 GOBINDA CHANDRA B LANE | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||