Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05779 | Date 02/12/2023 |
| Token No | SM/25-26/1040 23/04/2025 | Serial | 011 |
| Patient Name | Mrs. MADHABI DAS | Contact No | 7044949934 |
| Address | 43/6 PRAVASNAGAR SERAMPORE 712249 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||