Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05735 | Date 25/11/2023 |
| Token No | SM/25-26/8104 18/09/2025 | Serial | 014 |
| Patient Name | Mrs. SUSMITA ADITYA | Contact No | 9433381053 |
| Address | 43/33/A PRAVASHNAGAR SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 110/70 mmHg | Weight | 86 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||