Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05679 | Date 17/11/2023 |
| Token No | SM/25-26/5905 06/08/2025 | Serial | 023 |
| Patient Name | Mrs. SMITA KUMARI | Contact No | 9007314945 |
| Address | GURU GARDEN ROAD SERAMPORE M 712249 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||