Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06047 | Date 11/01/2024 |
| Token No | SM/24-25/33108 23/12/2024 | Serial | 010 |
| Patient Name | Mrs. RADHA DEVI | Contact No | 6289636509 |
| Address | 122 PRAVASHNAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||