Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05560 | Date 02/11/2023 |
| Token No | SM/25-26/10852 22/11/2025 | Serial | 067 |
| Patient Name | Mrs. MIRA NAYAK | Contact No | 6291670953 |
| Address | 97/F/2/A PRAVASHNAGAR SERAMPORE 712249 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||