Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05617 | Date 08/11/2023 |
| Token No | SM/22-23/15298 08/11/2023 | Serial | 011 |
| Patient Name | Mrs. UMA RAJAK | Contact No | 8697364258 |
| Address | 97/H/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||