Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05179 | Date 20/09/2023 |
| Token No | SM/22-23/13288 20/09/2023 | Serial | 006 |
| Patient Name | Mrs. MANJU DEVI RAM | Contact No | 6291264346 |
| Address | 126/C PRAVASHNAGAR SERAMPORE 712249 | Age | 34 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||