Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08964 | Date 26/03/2025 |
| Token No | SM/24-25/37432 26/03/2025 | Serial | 010 |
| Patient Name | Mrs. RATNA SHAW | Contact No | 8585089146 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||