Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01124 | Date 04/03/2020 |
| Token No | SM/24-25/37448 26/03/2025 | Serial | 026 |
| Patient Name | Mrs. PUTUL DAS | Contact No | |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 90/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||