Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01719 | Date 27/05/2022 |
| Token No | SM/25-26/7 01/04/2025 | Serial | 007 |
| Patient Name | Mrs. MAYA BISWAS | Contact No | 9163575386 |
| Address | 43/27/A/9 PRABASHNAGAR PURBAPARA SERAMPORE 712249 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||