Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04018 | Date 06/04/2023 |
| Token No | SM/25-26/6663 21/08/2025 | Serial | 029 |
| Patient Name | Mrs. JYOTI DEVI | Contact No | 8910454751 |
| Address | 94/I/1 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||