Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04006 | Date 04/04/2023 |
| Token No | SM/24-25/36815 12/03/2025 | Serial | 003 |
| Patient Name | Mrs. BINDI KUMARI | Contact No | 6291690074 |
| Address | 97/U/3 PROVASNAGAR SERAMPORE 712249 | Age | 22 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||