Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06623 | Date 25/04/2024 |
| Token No | SM/25-26/15437 02/03/2026 | Serial | 013 |
| Patient Name | Mrs. RANI SHAW | Contact No | 8910311806 |
| Address | 43-18-1 GURUGARDEN ROAD SERAMPORE 712249 | Age | 21 Years,2 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||