Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 13701 | Date 04/11/2025 |
| Token No | SM/25-26/2512 04/11/2025 | Serial | 009 |
| Patient Name | Mrs. ANITA GUPTA | Contact No | 7003092052 |
| Address | 33A/1 ASHUTOSH CHATTERJEE LANE, MAHESH | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||