Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04891 | Date 21/08/2023 |
| Token No | SM/22-23/15288 08/11/2023 | Serial | 001 |
| Patient Name | Mrs. MANJU NANDI | Contact No | 7439529329 |
| Address | 43/20/H/1 PRABASHNAGAR PURBAPARA SERAMPORE 712203 | Age | 82 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 160/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||