Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05633 | Date 09/11/2023 |
| Token No | SM/22-23/15383 09/11/2023 | Serial | 042 |
| Patient Name | Mrs. CHANDA DAS | Contact No | 6291039577 |
| Address | 81 PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||