Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09497 | Date 25/06/2025 |
| Token No | SM/25-26/15474 02/03/2026 | Serial | 050 |
| Patient Name | Mrs. SHIKHA MONDAL | Contact No | 6289991979 |
| Address | 65/25/10/C MAHESH JANNAGAR ROAD SERAMPORE 712249 | Age | 53 Years,1 Months,28 Days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 160/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||