Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09854 | Date 01/09/2025 |
| Token No | SM/25-26/7374 03/09/2025 | Serial | 030 |
| Patient Name | Mrs. AMITA DEVI | Contact No | 6290840493 |
| Address | 97/N/8/C PRAVASNAGAR SERAMPORE 712249 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||