Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02191 | Date 09/07/2022 |
| Token No | SM/24-25/37043 18/03/2025 | Serial | 015 |
| Patient Name | Mrs. MADHURI DEVI | Contact No | 6291168299 |
| Address | 9/1/A/104 M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/60 mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||