Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09894 | Date 05/09/2025 |
| Token No | SM/25-26/7519 05/09/2025 | Serial | 009 |
| Patient Name | Mrs. RAJKUMARI JHA | Contact No | 6291558288 |
| Address | B 4/201 SUBASH NAGAR HOUSING 161/F M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||