Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08117 | Date 28/10/2024 |
| Token No | SM/24-25/33928 09/01/2025 | Serial | 019 |
| Patient Name | Mrs. SARIKA RAM | Contact No | 8335045023 |
| Address | 43/19/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 90/50 mmHg | Weight | 55 KG |
| Pulse Rate | 80 / min | Height | cm |
| Diagnosis | |||