Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01714 | Date 27/05/2022 |
| Token No | SM/22-23/16972 28/12/2023 | Serial | 003 |
| Patient Name | Mrs. SOBHA DEBI | Contact No | 8420222009 |
| Address | CHAMBAL GHATI PRABASHNAGAR SERAMPORE 712249 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||