Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06805 | Date 16/05/2024 |
| Token No | SM/25-26/1123 24/04/2025 | Serial | 024 |
| Patient Name | Mrs. PIYA MAITY | Contact No | 8420176823 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||