Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07021 | Date 15/06/2024 |
| Token No | SM/25-26/3280 10/06/2025 | Serial | 018 |
| Patient Name | Mrs. RITU KUMARI | Contact No | 9804879680 |
| Address | 9/436 PRAVASHNAGAR SERAMPORE 712249 | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||