Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01781 | Date 01/06/2022 |
| Token No | SM/25-26/7526 05/09/2025 | Serial | 016 |
| Patient Name | Mrs. LAXMI RANI DAS | Contact No | 7439269382 |
| Address | 43/6 PRAVASHNAGAR SERAMPORE 712249 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||