Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08674 | Date 05/02/2025 |
| Token No | SM/24-25/35189 05/02/2025 | Serial | 081 |
| Patient Name | Mrs. PUNAM KUMARI HELA | Contact No | 9163835129 |
| Address | 108 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||