Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04726 | Date 05/08/2023 |
| Token No | SM/24-25/36838 12/03/2025 | Serial | 026 |
| Patient Name | Mrs. SONALI DAS | Contact No | 9749784560 |
| Address | PROVASNAGAR SERAMPORE 712249 | Age | 16 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||