Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04575 | Date 24/07/2023 |
| Token No | SM/22-23/14136 09/10/2023 | Serial | 056 |
| Patient Name | Mrs. SUMAN DEVI | Contact No | 8820724693 |
| Address | 165/C S K NAGAR SERAMPORE PRABASHNAGAR 712249 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||