Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04208 | Date 22/05/2023 |
| Token No | SM/25-26/7921 12/09/2025 | Serial | 036 |
| Patient Name | Mrs. JANAKIDEVI PRASAD | Contact No | 7686980471 |
| Address | 60/D PRABASHNAGAR SERAMPORE 712249 | Age | 66 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||