Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04189 | Date 17/05/2023 |
| Token No | SM/25-26/6342 14/08/2025 | Serial | 001 |
| Patient Name | Mrs. SARASWATI RABIDAS | Contact No | 8274809807 |
| Address | 66/B/1 GURU GARDEN ROAD SERAMPORE 712249 | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||