Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04856 | Date 18/08/2023 |
| Token No | SM/22-23/11972 18/08/2023 | Serial | 004 |
| Patient Name | Mrs. SARASWATI RAJAK | Contact No | 9330144396 |
| Address | 97/J/4 PRABASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||