Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05408 | Date 11/10/2023 |
| Token No | SM/22-23/17737 24/01/2024 | Serial | 033 |
| Patient Name | Mrs. SOURAPI BERA | Contact No | 8961620538 |
| Address | 82/A G G ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||