Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05269 | Date 27/09/2023 |
| Token No | SM/22-23/13619 27/09/2023 | Serial | 026 |
| Patient Name | Mrs. NIRMALA DEVI | Contact No | 9051306310 |
| Address | 87/1/B GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 61 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||