Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01806 | Date 01/06/2022 |
| Token No | SM/25-26/8814 08/10/2025 | Serial | 066 |
| Patient Name | Mrs. GITA SHAW | Contact No | 9831345622 |
| Address | 97/F/5 PRABASHNAGAR SERAMPORE 712249 | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||