Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05924 | Date 21/12/2023 |
| Token No | SM/22-23/16797 21/12/2023 | Serial | 050 |
| Patient Name | Mrs. PARBATI DEVI | Contact No | |
| Address | NAYA BASTI PRAVASHNAGAR SERAMPORE 712249 | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||