Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06166 | Date 03/02/2024 |
| Token No | SM/25-26/8888 10/10/2025 | Serial | 004 |
| Patient Name | Mrs. KRISHNA DAS | Contact No | 8420437651 |
| Address | 49/O/5 PRAVASHNAGAR SERAMPORE 712249 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||