Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06232 | Date 10/02/2024 |
| Token No | SM/24-25/35765 17/02/2025 | Serial | 040 |
| Patient Name | Mrs. ANTARA RAY | Contact No | 8017113307 |
| Address | 43/46/I PROVASNAGAR SERAMPORE 712249 | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||