Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06195 | Date 06/02/2024 |
| Token No | SM/25-26/5432 28/07/2025 | Serial | 027 |
| Patient Name | Mrs. PUSPA DAS | Contact No | 9123980219 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||