Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09534 | Date 03/07/2025 |
| Token No | SM/25-26/4337 03/07/2025 | Serial | 035 |
| Patient Name | Mrs. SUNITA DEVI | Contact No | 8757215411 |
| Address | 1/B AA1 PRAVASHNAGAR SERAMPORE 712249 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||