Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05179 | Date 20/09/2023 |
| Token No | SM/25-26/5960 07/08/2025 | Serial | 005 |
| Patient Name | Mrs. MANJU DEVI RAM | Contact No | 6291264346 |
| Address | 126/C PRAVASHNAGAR SERAMPORE 712249 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||