Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08912 | Date 19/03/2025 |
| Token No | SM/24-25/37093 19/03/2025 | Serial | 025 |
| Patient Name | Mrs. RAJ KUMARI JHA | Contact No | 8910159960 |
| Address | 97/P/14 PRAVASHNAGAR SERAMPORE 712249 | Age | 60 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||