Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09453 | Date 16/06/2025 |
| Token No | SM/25-26/3742 19/06/2025 | Serial | 034 |
| Patient Name | Mrs. ARATI RAI | Contact No | 7003967986 |
| Address | 66/E/1 GURUGARDEN ROADPRAVASHNAGAR SERAMPORE 712249 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||