Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05837 | Date 11/12/2023 |
| Token No | SM/22-23/16354 11/12/2023 | Serial | 028 |
| Patient Name | Mrs. RENU DEVI SHAW | Contact No | 6290651643 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||