Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07039 | Date 19/06/2024 |
| Token No | SM/25-26/11574 06/12/2025 | Serial | 072 |
| Patient Name | Mrs. BINDA DEVI RAM | Contact No | 7980257214 |
| Address | 63 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712203 | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||