Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04495 | Date 13/07/2023 |
| Token No | SM/22-23/10474 13/07/2023 | Serial | 013 |
| Patient Name | Mrs. FALGUNI DEBNATH | Contact No | 7505399921 |
| Address | 43/14/5 PRAVASHNAGAR SERAMPORE 712249 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||