Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05411 | Date 12/10/2023 |
| Token No | SM/25-26/1864 12/05/2025 | Serial | 006 |
| Patient Name | Mrs. PINKI DAS | Contact No | 7044340526 |
| Address | 43/18 PRAVASHNAGAR SERAMPORE 712249 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||