Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05426 | Date 13/10/2023 |
| Token No | SM/22-23/14375 13/10/2023 | Serial | 030 |
| Patient Name | Mrs. PUTUL KAPAR | Contact No | 9831383880 |
| Address | 66/B/3/A GURU GARDEN ROAD SERAMPORE 712249 | Age | 55 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||