Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10185 | Date 15/11/2025 |
| Token No | SM/25-26/10509 15/11/2025 | Serial | 088 |
| Patient Name | Mrs. BABITA DEVI | Contact No | 7044349701 |
| Address | 97/L/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||