Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09235 | Date 07/05/2025 |
| Token No | SM/25-26/1646 07/05/2025 | Serial | 022 |
| Patient Name | Mrs. RINA DUTTA | Contact No | 8789802796 |
| Address | 43/47 GURUGARDEN ROAD SERAMPORE 712249 | Age | 36 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||