Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09496 | Date 25/06/2025 |
| Token No | SM/25-26/3933 25/06/2025 | Serial | 001 |
| Patient Name | Mrs. BABY DEVI | Contact No | 9239140128 |
| Address | 55/A/29 M J ROAD SERAMPORE HOOGHLY 712249 | Age | 32 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||