Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03303 | Date 01/12/2022 |
| Token No | SM/25-26/1701 08/05/2025 | Serial | 003 |
| Patient Name | Mrs. RINKU BANIK DAS | Contact No | 9874642573 |
| Address | 43/32/D/2 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 90/60 mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||