Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09561 | Date 12/07/2025 |
| Token No | SM/25-26/5468 28/07/2025 | Serial | 063 |
| Patient Name | Mrs. MANJU PRASAD | Contact No | 7003965117 |
| Address | 9/1/A/112 PRAVASHNAGAR SERAMPORE 712249 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||