Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04958 | Date 25/08/2023 |
| Token No | SM/22-23/12351 25/08/2023 | Serial | 046 |
| Patient Name | Miss SARALIPI DAS | Contact No | 8910223803 |
| Address | 52/A PRAVASHNAGA R SERAMPORE 712249 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||