Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08839 | Date 06/03/2025 |
| Token No | SM/25-26/7735 10/09/2025 | Serial | 054 |
| Patient Name | Mrs. BABITA DEVI | Contact No | 9088997636 |
| Address | 9/1/A/38 GURU GARDEN ROAD SERAMPORE 712249 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||