Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00203 | Date 20/09/2019 |
| Token No | SM/25-26/6708 21/08/2025 | Serial | 074 |
| Patient Name | Mrs. GURIA DEVI | Contact No | 7059822644 |
| Address | HINDU SCHOOL PRABASHNAGAR SERAMPORE 712249 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 90/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||