Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05538 | Date 31/10/2023 |
| Token No | SM/25-26/11433 04/12/2025 | Serial | 032 |
| Patient Name | Mrs. LAXMI DEVI | Contact No | 9804862454 |
| Address | 37/2/E M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||