Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06362 | Date 29/02/2024 |
| Token No | SM/24-25/36829 12/03/2025 | Serial | 017 |
| Patient Name | Mrs. KANTI SINGH | Contact No | 9330151562 |
| Address | 97/Z/4PRAVASHNAGAR SERAMPORE 712249 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||