Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05209 | Date 22/09/2023 |
| Token No | SM/22-23/13388 22/09/2023 | Serial | 009 |
| Patient Name | Mrs. MEGHA RAJBANSHI | Contact No | 9123992973 |
| Address | 43/4 PRAVASHNAGAR SERAMPORE 712249 | Age | 22 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||