Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10205 | Date 22/11/2025 |
| Token No | SM/25-26/11570 06/12/2025 | Serial | 068 |
| Patient Name | Mrs. RUPA KUMARI | Contact No | 9931530335 |
| Address | A-8 SUBHASH NAGAR HOUSING PRAVASHNAGAR SERAMPORE 712249 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||