Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04097 | Date 26/04/2023 |
| Token No | SM/22-23/14043 06/10/2023 | Serial | 048 |
| Patient Name | Mrs. NIKKI DAS | Contact No | 8910489576 |
| Address | 72/A/10 DINEN BHATTACHERJEE SARANI SERAMPORE 712249 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||