Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08842 | Date 06/03/2025 |
| Token No | SM/25-26/10385 13/11/2025 | Serial | 054 |
| Patient Name | Mrs. PUJA GIRI | Contact No | 7595895526 |
| Address | 62/A PRAVASHNAGAR SERAMPORE 712249 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||