Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09376 | Date 02/06/2025 |
| Token No | SM/25-26/10295 12/11/2025 | Serial | 003 |
| Patient Name | Mrs. RINA SAHA | Contact No | 9836051134 |
| Address | 2/237 MAHESH COLONY SERAMPORE 7712201 | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 122/79 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||