Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08429 | Date 21/12/2024 |
| Token No | SM/25-26/4638 12/07/2025 | Serial | 059 |
| Patient Name | Mrs. BABITA DEVI | Contact No | 6289542830 |
| Address | 97/U/4 PRAVASHNAGAR SERAMPORE 712249 | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||