Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08837 | Date 06/03/2025 |
| Token No | SM/24-25/36626 08/03/2025 | Serial | 036 |
| Patient Name | Mrs. RANJITA JAISWAL | Contact No | 8777012409 |
| Address | 97/F/1 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||