Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05023 | Date 01/09/2023 |
| Token No | SM/22-23/12563 01/09/2023 | Serial | 006 |
| Patient Name | Mrs. MINATI ADITYA | Contact No | 9831920023 |
| Address | 43/33/B PRABASHNAGAR SERAMPORE 712249 | Age | 67 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||