Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07765 | Date 29/08/2024 |
| Token No | SM/25-26/5423 28/07/2025 | Serial | 018 |
| Patient Name | Mrs. MANTI RAJBHAR | Contact No | 7980863240 |
| Address | 97/T PRAVASHNAGAR SERAMPORE 712249 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||