Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09331 | Date 22/05/2025 |
| Token No | SM/25-26/2428 22/05/2025 | Serial | 034 |
| Patient Name | Miss MANITA RAJAK | Contact No | 9875535869 |
| Address | 97/H/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||