Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06502 | Date 01/04/2024 |
| Token No | SM/25-26/9556 25/10/2025 | Serial | 022 |
| Patient Name | Mrs. SUPRIYA KUMARI | Contact No | 9062470100 |
| Address | 97/P/15 PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||