Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06604 | Date 22/04/2024 |
| Token No | SM/25-26/1788 09/05/2025 | Serial | 015 |
| Patient Name | Mrs. RIMPA BOSE | Contact No | 9875516610 |
| Address | 49/D/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||