Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08687 | Date 07/02/2025 |
| Token No | SM/24-25/35475 10/02/2025 | Serial | 046 |
| Patient Name | Mrs. PRIYANKA SHAW | Contact No | 9123360270 |
| Address | 97/N/6 PRAVASHNAGAR SERAMPORE 712249 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||