Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06893 | Date 30/05/2024 |
| Token No | SM/25-26/9183 15/10/2025 | Serial | 072 |
| Patient Name | Mrs. MAYA SINGH | Contact No | 6289322744 |
| Address | 43/5 PRAVASNAGAR SERAMPORE 712249 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||