Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04805 | Date 12/08/2023 |
| Token No | SM/25-26/2029 14/05/2025 | Serial | 076 |
| Patient Name | Mrs. RINA DEB | Contact No | 9748254543 |
| Address | 43/46/L PRABASHNAGAR SERAMPORE 712249 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||