Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07327 | Date 02/07/2024 |
| Token No | SM/25-26/5160 23/07/2025 | Serial | 001 |
| Patient Name | Mrs. NANDITA DEY | Contact No | 9073589959 |
| Address | 43/16/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 122/83 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||