Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05673 | Date 17/11/2023 |
| Token No | SM/25-26/2324 21/05/2025 | Serial | 005 |
| Patient Name | Mrs. ASHA DEVI | Contact No | 7980554051 |
| Address | 122 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 37 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 120/70 mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||