Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05754 | Date 29/11/2023 |
| Token No | SM/22-23/15921 29/11/2023 | Serial | 013 |
| Patient Name | Mrs. RUBY DEVI | Contact No | 9875438268 |
| Address | 97/N/1/A PRAVASHNAGAR SERAMPORE 712249 | Age | 19 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||