Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02680 | Date 09/09/2022 |
| Token No | SM/25-26/15480 02/03/2026 | Serial | 056 |
| Patient Name | Mrs. CHADNI KUMARI RABIDAS | Contact No | 9748384063 |
| Address | 66/A/1 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 39 Years,2 Months,29 Days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||