Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03029 | Date 12/09/2019 |
| Token No | SM/24-25/20546 16/01/2025 | Serial | 023 |
| Patient Name | Miss ILA KUMARI SHAW | Contact No | 9831552682 |
| Address | 83 DEY STREER SERAMPORE | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||