Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05306 | Date 30/09/2023 |
| Token No | SM/22-23/13796 30/09/2023 | Serial | 016 |
| Patient Name | Mrs. MAYA MAHATO | Contact No | 9123776094 |
| Address | 676 S K NAGAR PRAVASHNAGAR SERAMPORE 712249 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||