Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00730 | Date 14/01/2020 |
| Token No | SM/25-26/6641 21/08/2025 | Serial | 007 |
| Patient Name | Mrs. RENU SHAW | Contact No | 7439339080 |
| Address | 65/B PRABASHNAGAR SERAMPORE 712249 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||