Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 09594 | Date 21/07/2025 |
| Token No | SM/25-26/7788 10/09/2025 | Serial | 107 |
| Patient Name | Mrs. URMILA DEVI | Contact No | 6289069165 |
| Address | 2/1/33 S S ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||