Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08514 | Date 07/01/2025 |
| Token No | SM/24-25/33816 07/01/2025 | Serial | 028 |
| Patient Name | Mrs. SIKHA DEVI | Contact No | 9163182668 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||