Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05475 | Date 19/10/2023 |
| Token No | SM/22-23/14980 02/11/2023 | Serial | 002 |
| Patient Name | Mrs. GUILI DEVI | Contact No | 9883339292 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||