Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02037 | Date 24/06/2022 |
| Token No | SM/22-23/16055 02/12/2023 | Serial | 001 |
| Patient Name | Mrs. ARCHANA BANIK | Contact No | 9038415322 |
| Address | 47/1 PRABASHNAGAR PURBAPARA SERAMPORE HOOGHLY 712249 | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||