Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00386 | Date 15/11/2019 |
| Token No | SM/22-23/11502 08/08/2023 | Serial | 023 |
| Patient Name | Mrs. SUNITA DEBI | Contact No | 7890662710 |
| Address | 43/16/D PRABASHNAGAR SERAMPORE 712249 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||