Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09061 | Date 07/04/2025 |
| Token No | SM/25-26/348 07/04/2025 | Serial | 057 |
| Patient Name | Mrs. INDU DEVI | Contact No | |
| Address | 62/A PRAVASHNAGAR SERAMPORE 712249 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||