Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02779 | Date 24/09/2022 |
| Token No | SM/25-26/4095 30/06/2025 | Serial | 006 |
| Patient Name | Mrs. MAMATA MONDAL | Contact No | 8274883875 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 32 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 110/80 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||