Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08642 | Date 31/01/2025 |
| Token No | SM/24-25/34941 31/01/2025 | Serial | 020 |
| Patient Name | Mrs. DAYA DEVI HELA | Contact No | |
| Address | 97/H/9 PRAVASHNAGAR SERAMPORE 712249 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||