Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03188 | Date 18/11/2022 |
| Token No | SM/25-26/8648 27/09/2025 | Serial | 018 |
| Patient Name | Mrs. ANITA DEVI | Contact No | 9748861743 |
| Address | 87/1/A GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||