Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05579 | Date 04/11/2023 |
| Token No | SM/22-23/15141 04/11/2023 | Serial | 028 |
| Patient Name | Mrs. KAUSHALYA DEVI | Contact No | 9073304186 |
| Address | 87/1/C GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 64 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||