Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05859 | Date 13/12/2023 |
| Token No | SM/22-23/16550 15/12/2023 | Serial | 004 |
| Patient Name | Miss JYOTI KUMARI HELA | Contact No | 7439276982 |
| Address | 97/F/3 PRAVASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||