Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09620 | Date 23/07/2025 |
| Token No | SM/25-26/7746 10/09/2025 | Serial | 065 |
| Patient Name | Mrs. ANJU KUMARI RABIDAS | Contact No | 9330115346 |
| Address | 66/B/1 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||