Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10675 | Date 23/03/2026 |
| Token No | SM/25-26/22641 26/10/2026 | Serial | 031 |
| Patient Name | Mrs. RITA SINGH | Contact No | 8777298255 |
| Address | 66/C/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 46 Years,7 Months,25 Days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 96/64 mmHg | Weight | KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||