Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 12562 | Date 22/01/2025 |
| Token No | SM/24-25/21251 08/03/2025 | Serial | 010 |
| Patient Name | Mrs. NISHU KUMARI SINGH | Contact No | 7217837610 |
| Address | 129/2 DOLUIPARA UTTARPARA | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||