Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01705 | Date 27/05/2022 |
| Token No | SM/25-26/2252 19/05/2025 | Serial | 060 |
| Patient Name | Mrs. KANAK DAS | Contact No | 9163198169 |
| Address | B-2 FL-301 SUBASHNAGAR HOUSING SERAMPORE 712249 | Age | 64 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/60 mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||