Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06350 | Date 24/02/2024 |
| Token No | SM/25-26/4078 28/06/2025 | Serial | 014 |
| Patient Name | Mrs. RADHIKA SINGH | Contact No | 8240164491 |
| Address | 60/C PRAVASNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||