Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09993 | Date 22/09/2025 |
| Token No | SM/25-26/8340 22/09/2025 | Serial | 047 |
| Patient Name | Mrs. MANJU GUPTA | Contact No | 9163639310 |
| Address | 55/A/24 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 58 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||