Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05913 | Date 20/12/2023 |
| Token No | SM/25-26/8360 22/09/2025 | Serial | 067 |
| Patient Name | Mrs. PRAMILA DEVI | Contact No | 6289853671 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 116/69 mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||