Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08505 | Date 04/01/2025 |
| Token No | SM/25-26/1525 05/05/2025 | Serial | 010 |
| Patient Name | Mrs. DIPA SARKAR | Contact No | 6289513679 |
| Address | 43/32/C GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||