Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01549 | Date 02/05/2020 |
| Token No | SM/25-26/4203 01/07/2025 | Serial | 018 |
| Patient Name | Mrs. PRATIMA GUPTA | Contact No | 7686841742 |
| Address | 97/N/2 PRABASHNAGAR SERAMPORE 712249 | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/90 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||