Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07452 | Date 16/07/2024 |
| Token No | SM/25-26/2331 21/05/2025 | Serial | 012 |
| Patient Name | Mrs. SUMITRA SARKAR | Contact No | 9007793607 |
| Address | 43/40 PRAVASHNAGAR SERAMPORE 712249 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||