Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05729 | Date 24/11/2023 |
| Token No | SM/22-23/16685 19/12/2023 | Serial | 028 |
| Patient Name | Mrs. BHARTI RAJBHAR | Contact No | 8777679065 |
| Address | 97/T PRAVASHNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||