Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01532 | Date 30/04/2020 |
| Token No | SM/25-26/22680 27/10/2026 | Serial | 016 |
| Patient Name | Mrs. PRITI KUMARI | Contact No | 8478092499 |
| Address | 97/P/8 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 24 Years,9 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 90/50 mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||