Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06442 | Date 18/03/2024 |
| Token No | SM/25-26/9163 15/10/2025 | Serial | 052 |
| Patient Name | Mrs. NAMITA MONDAL | Contact No | 7439770796 |
| Address | 43/24/2/A PRAVASHNAGAR SERAMPORE 712249 | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||