Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07524 | Date 25/07/2024 |
| Token No | SM/25-26/10125 08/11/2025 | Serial | 020 |
| Patient Name | Mrs. KAJAL KUMARI PATWA | Contact No | 9331724154 |
| Address | 66/M PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 90/40 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||