Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05927 | Date 23/12/2023 |
| Token No | SM/22-23/16859 23/12/2023 | Serial | 018 |
| Patient Name | Mrs. SIKILA DEVI | Contact No | |
| Address | PRAVASNAGAR SERAMPORE 712249 | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||