Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 09398 | Date 04/06/2025 |
| Token No | SM/25-26/3001 04/06/2025 | Serial | 024 |
| Patient Name | Mrs. KRISHNA BAG | Contact No | 7003413044 |
| Address | 14 JANNAGAR ROAD SERAMPORE 712201 | Age | 35 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||