Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07048 | Date 19/06/2024 |
| Token No | SM/25-26/2982 04/06/2025 | Serial | 005 |
| Patient Name | Mrs. PRIYA SINGHA | Contact No | 9330057803 |
| Address | 122 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||