Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06091 | Date 24/01/2024 |
| Token No | SM/22-23/17803 27/01/2024 | Serial | 016 |
| Patient Name | Mrs. URMILA DEVI | Contact No | 9521422542 |
| Address | 49/N/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||