Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01690 | Date 25/05/2022 |
| Token No | SM/25-26/1603 06/05/2025 | Serial | 008 |
| Patient Name | Mrs. ANITA DEVI | Contact No | |
| Address | 87/A/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||