Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05760 | Date 30/11/2023 |
| Token No | SM/22-23/15965 30/11/2023 | Serial | 013 |
| Patient Name | Mrs. TINKU DEVI | Contact No | 9339073256 |
| Address | 58/D PRAVASNAGAR HOOGHLY 712249 | Age | 35 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||