Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05245 | Date 26/09/2023 |
| Token No | SM/22-23/13561 26/09/2023 | Serial | 028 |
| Patient Name | Miss MANGALA PAL | Contact No | 7980542467 |
| Address | 43/4 PRABASHNAGAR SERAMPORE 712249 | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||