Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06578 | Date 18/04/2024 |
| Token No | SM/25-26/9627 29/10/2025 | Serial | 020 |
| Patient Name | Mrs. GITA DEVI | Contact No | 8584963702 |
| Address | 9/439 PRAVASHNAGAR SERAMPORE 712249 | Age | 67 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||