Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09936 | Date 11/09/2025 |
| Token No | SM/25-26/9948 05/11/2025 | Serial | 005 |
| Patient Name | Mrs. DIPA THAKUR | Contact No | 7980583805 |
| Address | 87/1/C PRAVASHNAGAR SERAMPORE 712249 | Age | 36 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||