Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09230 | Date 07/05/2025 |
| Token No | SM/25-26/2004 14/05/2025 | Serial | 051 |
| Patient Name | Mrs. DOLI KUMARI HARIJAN | Contact No | 7980700157 |
| Address | 97/R/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||