Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08016 | Date 14/10/2024 |
| Token No | SM/25-26/9203 16/10/2025 | Serial | 003 |
| Patient Name | Mrs. SANGITA DEVI | Contact No | 9163842292 |
| Address | 75 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||