Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06881 | Date 29/05/2024 |
| Token No | SM/25-26/1821 10/05/2025 | Serial | 002 |
| Patient Name | Mrs. PRIYANKA SINGH | Contact No | 6201676411 |
| Address | 43/27/A/3 G G ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 112/70 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||