Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08998 | Date 01/04/2025 |
| Token No | SM/25-26/11 01/04/2025 | Serial | 011 |
| Patient Name | Mrs. LAXMI DEVI GUPTA | Contact No | 7890026100 |
| Address | 76 PRAVASHNAGAR SERAMPORE 712249 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||