Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09977 | Date 18/09/2025 |
| Token No | SM/25-26/9281 16/10/2025 | Serial | 081 |
| Patient Name | Mrs. PUNAM KUMARI | Contact No | 7890122302 |
| Address | 64 PRAVASHNAGAR SERAMPORE 712249 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||