Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01793 | Date 01/06/2022 |
| Token No | SM/25-26/6494 18/08/2025 | Serial | 032 |
| Patient Name | Mrs. ARUNA DEVI | Contact No | 9339333870 |
| Address | D1-103 SUBHASH NAGAR HOUSING COMPLEX PRAVASHNAGAR SERAMPORE 712249 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||