Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06381 | Date 06/03/2024 |
| Token No | SM/25-26/3952 25/06/2025 | Serial | 020 |
| Patient Name | Mrs. SHANTI SINGH | Contact No | 9883329797 |
| Address | 43/46/D PRAVASHNAGAR SERAMPORE 712249 | Age | 67 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||