Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06794 | Date 16/05/2024 |
| Token No | SM/25-26/1119 24/04/2025 | Serial | 020 |
| Patient Name | Mrs. RUPA KUMARI | Contact No | 8210186646 |
| Address | 9/433 PRAVASHNAGAR SERAMPORE 712249 | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||