Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06126 | Date 30/01/2024 |
| Token No | SM/22-23/17993 31/01/2024 | Serial | 034 |
| Patient Name | Mrs. PARVATI DAS | Contact No | |
| Address | PROVASNAGAR SERAMPORE 712249 | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||