Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04630 | Date 27/07/2023 |
| Token No | SM/25-26/11840 12/12/2025 | Serial | 002 |
| Patient Name | Mrs. CHUNNI DEVI | Contact No | 9836523984 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||