Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01832 | Date 08/06/2022 |
| Token No | SM/25-26/1504 03/05/2025 | Serial | 041 |
| Patient Name | Mrs. RINA DEVI PRASAD | Contact No | 8450841860 |
| Address | 97/J/2 PRABASHNAGAR SERAMPORE 712249 | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 138/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||