Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06140 | Date 31/01/2024 |
| Token No | SM/22-23/17982 31/01/2024 | Serial | 023 |
| Patient Name | Mrs. MINU DEVI | Contact No | 9804989848 |
| Address | 37/2/D PROVASNAGAR SERAMPORE 712249 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||