Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05916 | Date 21/12/2023 |
| Token No | SM/22-23/16759 21/12/2023 | Serial | 012 |
| Patient Name | Mrs. SANJU ROY | Contact No | 8240697685 |
| Address | SUBHAS NAGAR HOUSING COMPLEX PRAVASHNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||