Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10370 | Date 22/01/2026 |
| Token No | SM/25-26/15455 02/03/2026 | Serial | 031 |
| Patient Name | Mrs. NEHA RAI | Contact No | 7857865310 |
| Address | 97/N/8/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 23 Years,6 Months,6 Days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||