Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06964 | Date 10/06/2024 |
| Token No | SM/25-26/2800 30/05/2025 | Serial | 017 |
| Patient Name | Mrs. RUBI KUMARI PANDIT | Contact No | 8013282796 |
| Address | 107/E/2 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||