Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09363 | Date 29/05/2025 |
| Token No | SM/25-26/7121 29/08/2025 | Serial | 037 |
| Patient Name | Mrs. DIKSHA KUMARI | Contact No | 7764017571 |
| Address | 62B PRAVASHNAGAR SERAMPORE 712249 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||