Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09374 | Date 31/05/2025 |
| Token No | SM/25-26/2869 31/05/2025 | Serial | 038 |
| Patient Name | Mrs. KALAWATI DEVI | Contact No | 7309025090 |
| Address | 62/B PRAVASHNAGAR SERAMPORE 712249 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||