Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09409 | Date 06/06/2025 |
| Token No | SM/25-26/3137 06/06/2025 | Serial | 010 |
| Patient Name | Mrs. SNEHA PATWA | Contact No | 8240130410 |
| Address | 85/C PRAVASHNAGAR SERAMPORE 712249 | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||