Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08198 | Date 13/11/2024 |
| Token No | SM/25-26/2040 15/05/2025 | Serial | 003 |
| Patient Name | Mrs. PRITI DAS | Contact No | 9330398681 |
| Address | 43/46/F/1/A PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||