Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05810 | Date 08/12/2023 |
| Token No | SM/22-23/16409 12/12/2023 | Serial | 034 |
| Patient Name | Mrs. SHOBHA DEBI SHAW | Contact No | 7890137940 |
| Address | 107/F PRAVASHNAGAR SERAMPORE 712249 | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||