Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01923 | Date 15/06/2022 |
| Token No | SM/25-26/9130 15/10/2025 | Serial | 019 |
| Patient Name | Mrs. KARUNA MAITY | Contact No | 7687874092 |
| Address | 43/14/5 PRABASHNAGAR SERAMPORE 712249 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||