Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05946 | Date 27/12/2023 |
| Token No | SM/25-26/296 07/04/2025 | Serial | 005 |
| Patient Name | Mrs. PRATIMA DEVI SINGH | Contact No | 7890752715 |
| Address | 100/B PROVASNAGAR SERAMPORE 712249 | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||