Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04276 | Date 06/06/2023 |
| Token No | SM/24-25/36831 12/03/2025 | Serial | 019 |
| Patient Name | Mrs. PUJA DAS | Contact No | 9088926243 |
| Address | 49/D PROVASNAGAR PURBAPARA SERAMPORE M 712249 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||