Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05049 | Date 04/09/2023 |
| Token No | SM/25-26/5904 06/08/2025 | Serial | 022 |
| Patient Name | Mrs. GIRIJA DEVI SINGH | Contact No | 8777246169 |
| Address | 97/H/7 PRABASHNAGAR SERAMPORE 712249 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 134/73 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||