Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02237 | Date 15/07/2022 |
| Token No | SM/22-23/17062 30/12/2023 | Serial | 014 |
| Patient Name | Mrs. SHOBHA DEVI RAJBHAR | Contact No | 7890861762 |
| Address | 97/T PRABASHNAGAR SERAMPORE 712249 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||