Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09553 | Date 09/07/2025 |
| Token No | SM/25-26/4533 10/07/2025 | Serial | 028 |
| Patient Name | Mrs. SUSHILA DEVI | Contact No | 9006866502 |
| Address | 81/B PRAVASHNAGAR SERAMPORE 712249 | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||