Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09585 | Date 17/07/2025 |
| Token No | SM/25-26/4894 17/07/2025 | Serial | 071 |
| Patient Name | Mrs. AARTI SHAW | Contact No | 9693445611 |
| Address | 49/N/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||