Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07477 | Date 18/07/2024 |
| Token No | SM/25-26/11972 15/12/2025 | Serial | 015 |
| Patient Name | Mrs. NEHA DEVI | Contact No | 9523831445 |
| Address | 9/433/3/E PRAVASHNAGAR SERAMPORE 712249 | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||