Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05500 | Date 25/10/2023 |
| Token No | SM/22-23/14703 25/10/2023 | Serial | 004 |
| Patient Name | Mrs. MALA RAJAK | Contact No | 7003724603 |
| Address | 97H/1/1 PROVASNAGAR SERAMPORE 712249 | Age | 45 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||