Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06309 | Date 19/02/2024 |
| Token No | SM/25-26/1873 12/05/2025 | Serial | 015 |
| Patient Name | Mrs. SANJU DEVI | Contact No | 9748105375 |
| Address | 9/437/C PRAVASHNAGAR SERAMPORE 712249 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||