Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06376 | Date 05/03/2024 |
| Token No | SM/25-26/6059 08/08/2025 | Serial | 013 |
| Patient Name | Mrs. DIPTI MALLICK | Contact No | 6290832066 |
| Address | 43/5 PRAVASHNAGAR SERAMPORE 712249 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||