Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05516 | Date 30/10/2023 |
| Token No | SM/22-23/14788 30/10/2023 | Serial | 009 |
| Patient Name | Mrs. PUJA DAS | Contact No | 8583814563 |
| Address | 43/46/L PRABASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||