Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02938 | Date 19/10/2022 |
| Token No | SM/25-26/1 01/04/2025 | Serial | 001 |
| Patient Name | Mrs. GITA PAL | Contact No | 7044760984 |
| Address | 46 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||