Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10129 | Date 03/11/2025 |
| Token No | SM/25-26/15491 02/03/2026 | Serial | 067 |
| Patient Name | Mrs. BEBI HELA | Contact No | 8334021460 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 36 Years,2 Months,29 Days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||