Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05801 | Date 05/12/2023 |
| Token No | SM/22-23/16195 05/12/2023 | Serial | 035 |
| Patient Name | Mrs. BIGAN DEVI | Contact No | 9875614893 |
| Address | 49/N GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||