Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04254 | Date 30/05/2023 |
| Token No | SM/25-26/526 10/04/2025 | Serial | 010 |
| Patient Name | Mrs. ANITA KUMARI | Contact No | 9163111076 |
| Address | 4 NO RAIL GATE PRAVASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||