Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08933 | Date 24/03/2025 |
| Token No | SM/24-25/37295 24/03/2025 | Serial | 001 |
| Patient Name | Mrs. BEAUTY KUMARI | Contact No | 6207879015 |
| Address | 66/STEACHERS COLONY PRAVASHNAGAR SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||