Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04002 | Date 31/03/2023 |
| Token No | SM/24-25/37141 20/03/2025 | Serial | 024 |
| Patient Name | Mrs. TANIA DEY | Contact No | 7998667093 |
| Address | 43/13 PROVASNAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||