Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03712 | Date 03/02/2023 |
| Token No | SM/24-25/36359 04/03/2025 | Serial | 014 |
| Patient Name | Mrs. SHILA SHAW | Contact No | 8420133669 |
| Address | 61/1/A SRI KRISHNA NAGAR SERAMPORE 712249 | Age | 57 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||