Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09858 | Date 01/09/2025 |
| Token No | SM/25-26/7315 02/09/2025 | Serial | 030 |
| Patient Name | Mrs. ANTARA GUHA | Contact No | 8017113307 |
| Address | 43/46/1 GURUGARDEN ROAD SERAMPORE 712249 | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||