Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06737 | Date 07/05/2024 |
| Token No | SM/25-26/273 05/04/2025 | Serial | 019 |
| Patient Name | Mrs. NEHA KUMARI PANDIT | Contact No | 6290695630 |
| Address | 37/1/B MAHESH JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||