Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05844 | Date 12/12/2023 |
| Token No | SM/25-26/9103 14/10/2025 | Serial | 027 |
| Patient Name | Mrs. BANDANA KUMARI PRASAD | Contact No | 8777890307 |
| Address | 66/C/2 PROVASNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||