Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04029 | Date 10/04/2023 |
| Token No | SM/25-26/7021 28/08/2025 | Serial | 030 |
| Patient Name | Mrs. CHHAYA DAS | Contact No | 9748972849 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 73 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||