Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04211 | Date 23/05/2023 |
| Token No | SM/25-26/1968 14/05/2025 | Serial | 015 |
| Patient Name | Mrs. GAYETRI SHAW | Contact No | 6290531242 |
| Address | 97/F/4/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||