Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02191 | Date 09/07/2022 |
| Token No | SM/22-23/10143 04/07/2023 | Serial | 029 |
| Patient Name | Mrs. MADHURI DEVI | Contact No | 6291168299 |
| Address | 9/1/A/104 M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||