Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06743 | Date 09/05/2024 |
| Token No | SM/25-26/6968 27/08/2025 | Serial | 042 |
| Patient Name | Mrs. RADHA KUMARI | Contact No | 6289636509 |
| Address | 122 PRAVASHNAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||