Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10037 | Date 09/10/2025 |
| Token No | SM/25-26/8828 09/10/2025 | Serial | 012 |
| Patient Name | Mrs. MINAKSHI DEVI | Contact No | 9681547522 |
| Address | 97/U/2 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||