Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03176 | Date 18/11/2022 |
| Token No | SM/25-26/6589 19/08/2025 | Serial | 048 |
| Patient Name | Mrs. ARCHANA NAYAK | Contact No | 8820234192 |
| Address | 97/F/2 PRABASHNAGAR SERAMPORE 712249 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 108/76 mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||