Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06752 | Date 10/05/2024 |
| Token No | SM/24-25/35082 04/02/2025 | Serial | 023 |
| Patient Name | Mrs. KATAYANI DEVI | Contact No | 9330658676 |
| Address | PROVASNAGAR SERAMPORE 712249 | Age | 61 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 128/63 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||