Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 13751 | Date 20/11/2025 |
| Token No | SM/25-26/2688 20/11/2025 | Serial | 002 |
| Patient Name | Mrs. NITA DEVI | Contact No | 8282909589 |
| Address | JANNAGAR RPOAD | Age | 45 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||