Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09497 | Date 25/06/2025 |
| Token No | SM/25-26/4642 14/07/2025 | Serial | 002 |
| Patient Name | Mrs. SHIKHA MONDAL | Contact No | 6289991979 |
| Address | 65/25/10/C MAHESH JANNAGAR ROAD SERAMPORE 712249 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||