Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06288 | Date 15/02/2024 |
| Token No | SM/25-26/10736 20/11/2025 | Serial | 049 |
| Patient Name | Mrs. KALAWATI DEVI | Contact No | 6289759447 |
| Address | 97/N/9 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712203 | Age | 64 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||