Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06062 | Date 16/01/2024 |
| Token No | SM/24-25/36057 24/02/2025 | Serial | 031 |
| Patient Name | Mrs. JAYA DEVI | Contact No | 7044747247 |
| Address | 47/A/3 PROVASNAGAR SERAMPORE 712249 | Age | 61 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 150/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||