Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05725 | Date 24/11/2023 |
| Token No | SM/22-23/16087 02/12/2023 | Serial | 033 |
| Patient Name | Mrs. ANIMA PAL | Contact No | 9007644338 |
| Address | 42/B D N B ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 76 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 190/100 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||