Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08896 | Date 13/03/2025 |
| Token No | SM/25-26/3791 20/06/2025 | Serial | 039 |
| Patient Name | Mrs. RANI SHAW | Contact No | 7278872924 |
| Address | 97/F PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/55 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||