Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08501 | Date 04/01/2025 |
| Token No | SM/25-26/427 09/04/2025 | Serial | 012 |
| Patient Name | Mrs. NIRMALA DEVI | Contact No | 9163247576 |
| Address | 43/32/B/5 PRAVASHNAGAR SERAMPORE 712249 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||