Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03820 | Date 23/02/2023 |
| Token No | SM/25-26/11549 06/12/2025 | Serial | 047 |
| Patient Name | Mrs. JUHI DEVI | Contact No | 7044245540 |
| Address | 97/L/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/70 mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||