Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09160 | Date 23/04/2025 |
| Token No | SM/25-26/2186 17/05/2025 | Serial | 036 |
| Patient Name | Mrs. SATHI GHOSHAL | Contact No | 9163190911 |
| Address | 43/49 PRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 106/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||