Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09072 | Date 09/04/2025 |
| Token No | SM/25-26/12403 27/12/2025 | Serial | 023 |
| Patient Name | Mrs. RIYA CHAKLADAR | Contact No | 8777569304 |
| Address | 65/19/2 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||