Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00299 | Date 24/10/2019 |
| Token No | SM/25-26/1041 23/04/2025 | Serial | 012 |
| Patient Name | Mrs. SABITA NANDY DHARA | Contact No | 9836871191 |
| Address | 7 NO BARUIPARA LANE CHATRA SERAMPORE 712204 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||