Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10267 | Date 04/12/2025 |
| Token No | SM/25-26/12523 30/12/2025 | Serial | 026 |
| Patient Name | Mrs. ASHA RAJBHAR | Contact No | 9770152716 |
| Address | 97/T PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||