Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05675 | Date 17/11/2023 |
| Token No | SM/22-23/15577 17/11/2023 | Serial | 010 |
| Patient Name | Mrs. MANJU DEVI | Contact No | 9007271910 |
| Address | 77 PRABASHNAGAR SERAMPORE 712249 | Age | 68 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||