Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07582 | Date 05/08/2024 |
| Token No | SM/25-26/10938 24/11/2025 | Serial | 039 |
| Patient Name | Mrs. KALABATI DEBI TIWARI | Contact No | 9088495201 |
| Address | 97/H/5 PRAVASHNAGAR SERAMPORE 712249 | Age | 75 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||