Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05709 | Date 23/11/2023 |
| Token No | SM/22-23/15730 23/11/2023 | Serial | 012 |
| Patient Name | Mrs. CHAMPA DEVI | Contact No | 9883966305 |
| Address | 97/S GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||