Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06385 | Date 07/03/2024 |
| Token No | SM/25-26/7799 11/09/2025 | Serial | 006 |
| Patient Name | Mrs. CHAMPA DEVI | Contact No | 9163968426 |
| Address | 97/P/9 PRAVASHNAGAR SERAMPORE 712249 | Age | 76 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 45 KG |
| Pulse Rate | 68 / min | Height | cm |
| Diagnosis | |||