Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08890 | Date 12/03/2025 |
| Token No | SM/25-26/919 21/04/2025 | Serial | 014 |
| Patient Name | Mrs. NIDHI DEVI | Contact No | 9073527251 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||