Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06542 | Date 05/04/2024 |
| Token No | SM/25-26/1820 10/05/2025 | Serial | 001 |
| Patient Name | Mrs. SHOBHA KUMARI | Contact No | 9804607368 |
| Address | 127/A PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||