Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03517 | Date 28/12/2022 |
| Token No | SM/25-26/7442 04/09/2025 | Serial | 014 |
| Patient Name | Mrs. CHAND MUNNI DEVI | Contact No | 9903335299 |
| Address | 43/D PRABASHNAGAR PURBAPARA SERAMPORE 712249 | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||