Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05776 | Date 01/12/2023 |
| Token No | SM/22-23/17217 05/01/2024 | Serial | 011 |
| Patient Name | Mrs. RANJANA DAS | Contact No | 8910591868 |
| Address | 43/6 PRAVASHNAGAR SERAMPORE 712249 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||