Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00991 | Date 17/02/2020 |
| Token No | SM/25-26/7528 05/09/2025 | Serial | 018 |
| Patient Name | Mrs. PUSHPA CHAKRABORTY | Contact No | 9903428124 |
| Address | 43/20/H/2 PRABASHNAGAR SERAMPORE 712249 | Age | 74 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||