Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06705 | Date 04/05/2024 |
| Token No | SM/25-26/8643 27/09/2025 | Serial | 013 |
| Patient Name | Mrs. SONIYA KUMARI SINGH | Contact No | 8849010945 |
| Address | 30/17 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||