Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08636 | Date 31/01/2025 |
| Token No | SM/24-25/34931 31/01/2025 | Serial | 010 |
| Patient Name | Mrs. RINA PAL | Contact No | 6290925568 |
| Address | 43/46/G PRAVASHNAGAR SERAMPORE 712249 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||