Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01022 | Date 19/02/2020 |
| Token No | SM/25-26/4887 17/07/2025 | Serial | 064 |
| Patient Name | Mrs. ANIMA ROY | Contact No | 9330149150 |
| Address | 190 RAJYADHARPUR GOV COLONY SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||