Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 03369 | Date 09/12/2022 |
| Token No | SM/25-26/6992 28/08/2025 | Serial | 001 |
| Patient Name | Mrs. SABITA KUMARI SHA | Contact No | 6290037187 |
| Address | 70/1/2/98 K B LANE SERAMPORE 712202 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 65 KG |
| Pulse Rate | 68 B/M / min | Height | 157CM cm |
| Diagnosis | |||