Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09954 | Date 13/09/2025 |
| Token No | SM/25-26/7966 13/09/2025 | Serial | 036 |
| Patient Name | Mrs. CHANDA DAS | Contact No | 7980765135 |
| Address | STYENVING GROUND PRAVASHNAGAR SERAMPORE 712249 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||