Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07604 | Date 07/08/2024 |
| Token No | SM/25-26/11058 27/11/2025 | Serial | 011 |
| Patient Name | Mrs. PRITI PRASAD GUPTA | Contact No | 8777890307 |
| Address | 66/C/2 PROVASNAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||