Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09313 | Date 19/05/2025 |
| Token No | SM/25-26/2213 19/05/2025 | Serial | 021 |
| Patient Name | Mrs. HEMA PRASAD | Contact No | 9836862385 |
| Address | 99/C PRAVASNAGAR SERAMPORE 712249 | Age | 42 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||