Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08914 | Date 19/03/2025 |
| Token No | SM/25-26/5541 30/07/2025 | Serial | 007 |
| Patient Name | Mrs. LAXMI SHAW | Contact No | 9681883766 |
| Address | 43/46/F/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||