Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04151 | Date 06/05/2023 |
| Token No | SM/25-26/5451 28/07/2025 | Serial | 046 |
| Patient Name | Mrs. SOBHA DEVI | Contact No | 7686980471 |
| Address | 60/D GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/68 mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||