Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04309 | Date 12/06/2023 |
| Token No | SM/25-26/5857 05/08/2025 | Serial | 023 |
| Patient Name | Mrs. LAXMI RAJBHAR | Contact No | 9123868490 |
| Address | 122 PRAVASNAGAR SERAMPORE M 712249 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||