Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09001 | Date 01/04/2025 |
| Token No | SM/25-26/304 07/04/2025 | Serial | 013 |
| Patient Name | Mrs. KAUSHALYA SHAW | Contact No | 9875484132 |
| Address | 97/Z/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||