Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09507 | Date 26/06/2025 |
| Token No | SM/25-26/4563 11/07/2025 | Serial | 018 |
| Patient Name | Mrs. RAKHI SINGH | Contact No | 6289309553 |
| Address | BLOCK-A8 FLAT-207 SUBASHNAGAR HOUSING PRAVASHNAGAR SERAMPORE 712249 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||