Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09403 | Date 05/06/2025 |
| Token No | SM/25-26/3049 05/06/2025 | Serial | 007 |
| Patient Name | Miss REKHA KUMARI | Contact No | 8420225408 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 80/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||