Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09354 | Date 28/05/2025 |
| Token No | SM/25-26/4178 30/06/2025 | Serial | 089 |
| Patient Name | Mrs. KOMAL PRASAD | Contact No | 9831668732 |
| Address | 107 PRAVASHNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||