Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05113 | Date 11/09/2023 |
| Token No | SM/24-25/33873 08/01/2025 | Serial | 024 |
| Patient Name | Mrs. RUBI BHARATI | Contact No | 8585037437 |
| Address | 97/L/2 PRABASHNAGAR SERAMPORE 712249 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||