Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02856 | Date 10/10/2022 |
| Token No | SM/25-26/9488 24/10/2025 | Serial | 014 |
| Patient Name | Mrs. MAMTA DEVI | Contact No | 9088357123 |
| Address | 60/C PRABASHNAGAR SERAMPORE 712249 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||