Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03836 | Date 25/02/2023 |
| Token No | SM/22-23/10565 15/07/2023 | Serial | 012 |
| Patient Name | Miss RANI KUMARI RAJBHAR | Contact No | 7890861762 |
| Address | 97/T GURU GARDEN ROAD SERAMPORE M 712249 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||