Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08323 | Date 29/11/2024 |
| Token No | SM/25-26/2885 02/06/2025 | Serial | 008 |
| Patient Name | Mrs. AMISHA DEVI | Contact No | 9334726598 |
| Address | 81/B GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 90/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||