Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00327 | Date 01/11/2019 |
| Token No | SM/25-26/6934 27/08/2025 | Serial | 008 |
| Patient Name | Mrs. SARADA DUBEY | Contact No | 8820404347 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||