Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09229 | Date 07/05/2025 |
| Token No | SM/25-26/1626 07/05/2025 | Serial | 002 |
| Patient Name | Mrs. RITA SINGH | Contact No | 7879084883 |
| Address | 9/1/23 MJ ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 41 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||