Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09108 | Date 16/04/2025 |
| Token No | SM/25-26/700 16/04/2025 | Serial | 015 |
| Patient Name | Mrs. DURGABATI DEVI | Contact No | 6291801679 |
| Address | 43/27/A/2 GURUGARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||