Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04038 | Date 10/04/2023 |
| Token No | SM/25-26/10680 19/11/2025 | Serial | 040 |
| Patient Name | Mrs. REHENA BIBI | Contact No | 9330831588 |
| Address | 20 KANAI DEWANTALA BYE LANE CHATRA SERAMPORE 712223 | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 70/40 mmHg | Weight | 45 KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||