Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04848 | Date 17/08/2023 |
| Token No | SM/22-23/12183 22/08/2023 | Serial | 051 |
| Patient Name | Mrs. LAKSHI DEVI RAJAK | Contact No | 9831306547 |
| Address | 97/J/4 PRABASHNAGAR SERAMPORE 712249 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 158/80 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||