Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01718 | Date 27/05/2022 |
| Token No | SM/25-26/6326 13/08/2025 | Serial | 063 |
| Patient Name | Mrs. SUBHADRA GUPTA | Contact No | 9007271910 |
| Address | 77 PRABASHNAGAR SERAMPORE 712249 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||