Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09094 | Date 10/04/2025 |
| Token No | SM/25-26/563 10/04/2025 | Serial | 047 |
| Patient Name | Mrs. RINKU SHAW | Contact No | 7596973725 |
| Address | 66E/13 PRAVASHNAGAR SERAMPORE 712249 | Age | 30 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||