Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04376 | Date 27/06/2023 |
| Token No | SM/25-26/3389 12/06/2025 | Serial | 007 |
| Patient Name | Mrs. PURNIMA SARKAR | Contact No | 8478065404 |
| Address | 43/46E PROVASNAGAR SERAMPORE M 712249 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||