Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06893 | Date 30/05/2024 |
| Token No | SM/25-26/121 03/04/2025 | Serial | 003 |
| Patient Name | Mrs. MAYA SINGH | Contact No | 6289322744 |
| Address | 43/5 PRAVASNAGAR SERAMPORE 712249 | Age | 54 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||