Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09219 | Date 06/05/2025 |
| Token No | SM/25-26/1729 08/05/2025 | Serial | 031 |
| Patient Name | Mrs. SUCHITRA DAS | Contact No | 7059818418 |
| Address | 43/46/C PRAVASHNAGAR SERAMPORE 712249 | Age | 45 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 130/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||