Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07043 | Date 19/06/2024 |
| Token No | SM/25-26/3820 21/06/2025 | Serial | 026 |
| Patient Name | Mrs. SARITA DEVI | Contact No | 7980776563 |
| Address | 87/1/R PRAVASHNAGAR SERAMPORE M 712249 | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||