Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09220 | Date 06/05/2025 |
| Token No | SM/25-26/3942 25/06/2025 | Serial | 010 |
| Patient Name | Mrs. LALMOTI KUMARI | Contact No | 9122284886 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||