Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03000 | Date 31/10/2022 |
| Token No | SM/25-26/10657 19/11/2025 | Serial | 017 |
| Patient Name | Mrs. MUNMUN SINGH | Contact No | 9330252070 |
| Address | 236/2 RAJYADHARPUR GOVT COLONY MALLICKPARA SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||