Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00369 | Date 14/11/2019 |
| Token No | SM/25-26/7472 04/09/2025 | Serial | 044 |
| Patient Name | Mrs. CHANCHALA KUMARI | Contact No | 8697301983 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||