Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07777 | Date 30/08/2024 |
| Token No | SM/25-26/12560 31/12/2025 | Serial | 007 |
| Patient Name | Mrs. PUNITA KUMARI | Contact No | 9163232170 |
| Address | 55/A/29 M J ROAD SERAMPORE M PRAVASHNAGAR 712249 | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||