Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01319 | Date 31/03/2020 |
| Token No | SM/25-26/15466 02/03/2026 | Serial | 042 |
| Patient Name | Mrs. RADHIKA DEVI | Contact No | 8013684783 |
| Address | 122 PRAVASHNAGAR SERAMPORE 712249 | Age | 46 Years,5 Months,9 Days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||