Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05081 | Date 08/09/2023 |
| Token No | SM/22-23/12813 08/09/2023 | Serial | 002 |
| Patient Name | Mrs. SANGITA RABIDAS | Contact No | 9330429711 |
| Address | 66/B/1 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 40 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||