Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07037 | Date 19/06/2024 |
| Token No | SM/25-26/8779 08/10/2025 | Serial | 031 |
| Patient Name | Mrs. KANIKA DUTTA | Contact No | 7686966747 |
| Address | 45/A/2/A PRAVASHNAGAR SERAMPORE 712249 | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 114/79 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||