Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06946 | Date 06/06/2024 |
| Token No | SM/25-26/9992 05/11/2025 | Serial | 049 |
| Patient Name | Mrs. MINA SHARAMA | Contact No | 7439770796 |
| Address | 43/24/2/A PRAVASHNAGAR SERAMPORE 712249 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||