Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04418 | Date 03/07/2023 |
| Token No | SM/22-23/10203 05/07/2023 | Serial | 022 |
| Patient Name | Mrs. MURTI DEVI | Contact No | 7890122302 |
| Address | 64 PRABASHNAGAR SERAMPORE 712249 | Age | 54 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||