Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06856 | Date 25/05/2024 |
| Token No | SM/25-26/10130 08/11/2025 | Serial | 025 |
| Patient Name | Mrs. RINA BALMIKI | Contact No | 9088680432 |
| Address | 97/F/3 PRAVASHNAGAR SERAMPORE 712249 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||