Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06147 | Date 01/02/2024 |
| Token No | SM/22-23/18047 01/02/2024 | Serial | 036 |
| Patient Name | Mrs. BABITA SHAW | Contact No | 8697545926 |
| Address | 9/437 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||