Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06062 | Date 16/01/2024 |
| Token No | SM/25-26/3991 26/06/2025 | Serial | 011 |
| Patient Name | Mrs. JAYA DEVI | Contact No | 7044747247 |
| Address | 47/A/3 PROVASNAGAR SERAMPORE 712249 | Age | 61 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||