Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02399 | Date 05/08/2022 |
| Token No | SM/25-26/3747 19/06/2025 | Serial | 039 |
| Patient Name | Mrs. PRIYANKA KUMARI | Contact No | 9748881520 |
| Address | 43/46/F/1/A PRAVASHNAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||