Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00525 | Date 09/12/2019 |
| Token No | SM/25-26/8281 20/09/2025 | Serial | 039 |
| Patient Name | Mrs. SUSHILA DEBI | Contact No | 9088798598 |
| Address | 97/G DHOBIA PARA PRAVASHNAGAR SERAMPORE M 712249 | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||