Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01618 | Date 23/05/2022 |
| Token No | SM/25-26/5163 23/07/2025 | Serial | 004 |
| Patient Name | Mrs. RAJ KUMARI ROUTH | Contact No | 8276070933 |
| Address | 9/433 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 69 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||