Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07393 | Date 08/07/2024 |
| Token No | SM/24-25/37445 26/03/2025 | Serial | 023 |
| Patient Name | Mrs. RABI DAS | Contact No | 8653119757 |
| Address | 43/19/B GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 65 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 150/80 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||