Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05400 | Date 11/10/2023 |
| Token No | SM/25-26/2196 19/05/2025 | Serial | 004 |
| Patient Name | Mrs. ALKA SHAW | Contact No | 6291162299 |
| Address | 9/1/A/104 PROVASNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||