Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05936 | Date 26/12/2023 |
| Token No | SM/22-23/16896 26/12/2023 | Serial | 023 |
| Patient Name | Mrs. SITA DEVI | Contact No | 9693445611 |
| Address | 49/N/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 67 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/70 mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||