Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05140 | Date 13/09/2023 |
| Token No | SM/22-23/13091 13/09/2023 | Serial | 041 |
| Patient Name | Mrs. PRAVA DEBI SHARMA | Contact No | 9335326840 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||