Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04153 | Date 06/05/2023 |
| Token No | SM/25-26/1631 07/05/2025 | Serial | 007 |
| Patient Name | Mrs. REKHA DEVI | Contact No | 8240502500 |
| Address | 43/27/A/4 PRABASHNAGAR SERAMPORE 712249 | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||