Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07732 | Date 23/08/2024 |
| Token No | SM/25-26/12351 24/12/2025 | Serial | 007 |
| Patient Name | Mrs. SITA KUMARI | Contact No | 6291772717 |
| Address | 97/L/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||